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ODYSSEY HOUSE OF UTAH
NPI 1174807259
Substance Abuse Rehabilitation Facility in Salt Lake City, UT

Active since October 06, 2011
344 E 100 S, STE 301, SALT LAKE CITY, UT 84111(801) 428-3402 Get Directions Write a Review

NPPES record last updated: October 6, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Odyssey House Of Utah NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ODYSSEY HOUSE OF UTAH (NPI 1174807259) is a healthcare organization registered as a substance abuse rehabilitation facility in Salt Lake City, Utah and active in the NPI registry since October 2011. The organization lists Donna Ruller, Office Assistant, as its authorized official.

NPPES Registry Identity

NPI1174807259
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameODYSSEY HOUSE OF UTAH
Location Address344 E 100 S, STE 301Salt Lake City, UT 84111-1700
Mailing Address344 E 100 S, Ste 301Salt Lake City, UT 84111-1700
Phone(801) 428-3402
Organization SubpartNo
Authorized OfficialDonna RullerOffice Assistant · (801) 428-3402
Enumeration DateOctober 6, 2011
✔ NPI 1174807259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
344 E 100 S, Salt Lake City, UT 84111
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSE ALRED
Community Health Worker
344 E 100 S, SUITE 301
SALT LAKE CITY, UT 84111
Salt Lake County (662) 213-5113
MS. KASSANDRA ROMERO
Community Health Worker
344 E 100 S, SUITE 301
SALT LAKE CITY, UT 84111
Salt Lake County (801) 322-4257
TANNA FAY ESKELSEN
Community Health Worker
344 E 100 S, 301
SLC, UT 84111
Salt Lake County (801) 322-4257
ASHLEY BASSETT
Peer Specialist
344 E 100 S, STE 301
SALT LAKE CITY, UT 84111
Salt Lake County (801) 322-4257
LAVINIA FONUA
Case Manager/Care Coordinator
344 E 100 S
SALT LAKE CITY, UT 84111
Salt Lake County (801) 322-3222
BRANDY K KOFFEL
Case Manager/Care Coordinator
344 E 100 S
SALT LAKE CITY, UT 84111
Salt Lake County (801) 322-3222
CHRISTOPHER SIMMONS
Case Manager/Care Coordinator
344 E 100 S
SALT LAKE CITY, UT 84111
Salt Lake County (801) 322-3222
JULEE MARES
Case Manager/Care Coordinator
344 E 100 S
SALT LAKE CITY, UT 84111
Salt Lake County (801) 322-3222

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Odyssey House Of Utah's NPI number?

The NPI number for Odyssey House Of Utah is 1174807259. It was assigned to this organization in the NPPES registry on October 6, 2011.

Where is Odyssey House Of Utah located?

Odyssey House Of Utah is located at 344 E 100 S Ste 301, Salt Lake City, UT 84111. The listed phone number is (801) 428-3402.

What is Odyssey House Of Utah's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Odyssey House Of Utah was last updated on October 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.