NPIMap

Organization Active NPI

Flint Odyssey House, Inc.

  • Substance Abuse Rehabilitation Facility
  • Port Huron, MI
National Provider Identifier
1679051759
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
FLINT ODYSSEY HOUSE, INC.
Practice address
718 Griswold St
Port Huron, MI 48060-5847
Phone
(810) 937-5366
Fax
(810) 937-5172
NPI assigned
Aug 1, 2018
Last updated
Oct 20, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
FLINT ODYSSEY HOUSE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 20, 2021

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

Authorized official

Name
Rochell Denell Harper-Shelton, MSANPI 1275001802
Title
Executive Coordinator
Phone
(810) 238-7226

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

718 Griswold St
Port Huron, MI 48060-5847

Mailing address

529 Martin Luther King Blvd
Flint, MI 48502-2002
Phone (810) 238-7226

National Provider Directory

National Provider Directory
Tax ID family
Saginaw Odyssey House Inc28 organizations share this tax ID, including this one
Part of
Saginaw Odyssey House Inc

Other organizations with this tax ID 27

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

View all 27

Locations

718 Griswold St
Port Huron, MI 48060
Phone (810) 824-4995

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1533081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634688000000",
    "number": "1679051759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 MARTIN LUTHER KING BLVD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485022002",
            "telephone_number": "810-238-7226",
            "fax_number": "810-238-5518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 GRISWOLD ST",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480605847",
            "telephone_number": "810-937-5366",
            "fax_number": "810-937-5172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLINT ODYSSEY HOUSE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FLINT ODYSSEY HOUSE, INC.",
        "enumeration_date": "2018-08-01",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A",
        "authorized_official_last_name": "HARPER-SHELTON",
        "authorized_official_first_name": "ROCHELL",
        "authorized_official_middle_name": "DENELL",
        "authorized_official_title_or_position": "EXECUTIVE COORDINATOR",
        "authorized_official_telephone_number": "810-238-7226",
        "authorized_official_credential": "MSA"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Huron, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.