NPIMap

Organization Active NPI

Flint Odyssey House Inc.

  • Children's Substance Abuse Rehabilitation Facility
  • Flint, MI
National Provider Identifier
1972156701
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X
Legal business name
FLINT ODYSSEY HOUSE INC.
Practice address
932 Beach St
Flint, MI 48502-1502
Phone
(810) 238-5888
NPI assigned
Jul 21, 2019
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, MSA
Title
Executive Coordinator
Phone
(810) 238-7226

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Children's Substance Abuse Rehabilitation Facility 3245S0500X Primary

Addresses

Primary practice location

932 Beach St
Flint, MI 48502-1502

Mailing address

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

National Provider Directory

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

932 Beach St
Flint, MI 48502

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1563667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634688000000",
    "number": "1972156701",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "932 BEACH ST",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485021502",
            "telephone_number": "810-238-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLINT ODYSSEY HOUSE INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FLINT ODYSSEY HOUSE INC.",
        "enumeration_date": "2019-07-21",
        "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": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, 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.