Odyssey House Texas

LBN: Cenikor Foundation
Odyssey House Texas is an health care organization with primary practice located at 5629 Grapevine Street , Houston TX 77085. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder is the primary health care specialty. Cenikor Foundation can be contacted via phone (713) 726-0922, or through Kuhlman, Matt via phone (713) 266-9944.

Contact Information

Primary practice address
5629 Grapevine Street Houston TX 77085
Phone: (713) 726-0922
Fax: (713) 726-0988
Website:
Map and Directions
Authorized official contact:
Name: Kuhlman, Matt
Phone: (713) 266-9944

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 2543-A Texas
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 316-3438 Texas

Profile Details

NPI number 1669695243
LBN Legal business name Cenikor Foundation
DBA Doing business as Odyssey House Texas
Authorized official Kuhlman, Matt
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 11th, 2007
Last updated Nov 11th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669695243 NPPES
Texas MEDICAID 108338801
Texas Other HH5100

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