Odyssey House, Inc. in Hampton - Residential Treatment Facility, Emotionally Disturbed Children
Odyssey House, Inc. - NPI 1295936656
Odyssey House, Inc. is a Residential Treatment Facility, Emotionally Disturbed Children in Hampton, New Hampshire. Odyssey House, Inc. practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Odyssey House, Inc. is 1295936656. The last update date is 2008-10-23.
Odyssey House, Inc.'s current location address is 124 Landing Rd, Hampton, New Hampshire. You can contact this provider via phone number 6039263195 and fax number 6039263195. The mailing address for Odyssey House, Inc. is 124 Landing Rd, Hampton, New Hampshire. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Odyssey House, Inc. |
|---|---|
| Address | 124 Landing Rd, Hampton, New Hampshire |
| Phone Number | 6039263195 |
| Fax Number | 6039263195 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Johannessen B. Erik |
| Credentials | LICSW |
| Telephone Number | 6037581590 |
NPI Number Detail
| NPI Number | 1295936656 |
|---|---|
| Provider Enumeration Date | 2007-05-31 |
| Last Updated Date | 2008-10-23 |
Provider Mailing Address Detail
| Address | 124 Landing Rd |
|---|---|
| City | Hampton |
| State | New Hampshire (NH) |
| Post Code | 38422603 |
| Phone Number | 6039263195 |
| Fax Number | 6039263195 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
|---|---|
| Taxonomy | 322D00000X |
| Licence No | 2130 |
|
Definition: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 30007481 | NH | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Odyssey House, Inc. by the Centers for Medicare & Medicaid Services?
The Odyssey House, Inc. has been assigned the NPI (National Provider Identifier) 1295936656 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Odyssey House, Inc. is geographically located?
The Odyssey House, Inc. is physically situated at the following location: 124 Landing Rd, Hampton, NH, 38422603.
What is the Odyssey House, Inc.'s area of specialization and corresponding taxonomy classification?
The Odyssey House, Inc.'s specialty field is Residential Treatment Facility, Emotionally Disturbed Children, and it falls under the taxonomy code 322D00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1295936656 to Odyssey House, Inc.?
The Centers for Medicare & Medicaid Services originally issued the 1295936656 to Odyssey House, Inc. on 2007-05-31.
As of what date were the details related to Odyssey House, Inc. most recently updated or revised?
The information pertaining to Odyssey House, Inc., including its address, specialty, and other relevant details, was last updated or revised on 2008-10-23.
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