NPIMap

Organization Active NPI

Odyssey Inc

Doing business as Lydia's House

  • Substance Abuse Rehabilitation Facility
  • Benham, KY
National Provider Identifier
1669024303
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
ODYSSEY INC
Doing business as
Lydia's House
Practice address
185 Maggard Street
Benham, KY 40807
Phone
(606) 638-0938
NPI assigned
Jul 12, 2019
Last updated
Dec 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Cheyenna Runyon
Title
Director of Credentialing
Phone
(606) 638-0938

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X NU Primary

Addresses

Primary practice location

185 Maggard Street
Benham, KY 40807

Mailing address

PO Box 686
Louisa, KY 41230-0686

Other identifiers 1

IdentifierTypeStateIssuer
810328OtherKYAODE

Other names 1

  • Lydia's House Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.arccenters.com Addiction Recovery Care LLC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D2116950Lydia's House185 Maggard St, Benham, KY 40807Certificate of waiverAug 4, 2026

National Provider Directory

National Provider Directory
Tax ID family
Odyssey Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1562889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734307200000",
    "number": "1669024303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 686",
            "city": "LOUISA",
            "state": "KY",
            "postal_code": "412300686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 MAGGARD STREET",
            "city": "BENHAM",
            "state": "KY",
            "postal_code": "40807",
            "telephone_number": "606-638-0938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODYSSEY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-12",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A",
        "authorized_official_last_name": "RUNYON",
        "authorized_official_first_name": "CHEYENNA",
        "authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
        "authorized_official_telephone_number": "606-638-0938"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AODE",
            "identifier": "810328",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.arccenters.com",
            "affiliation": "Y",
            "affiliationName": "Addiction Recovery Care LLC",
            "address_1": "125 S Main Cross St",
            "address_2": "Suite 202",
            "city": "Louisa",
            "state": "KY",
            "country_code": "US",
            "postal_code": "412301065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Lydia's House",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lydia's House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Benham, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.