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GARY ALONZO ODOM
NPI 1902666910
Home Health in Flat Rock, MI

Active since March 19, 2024
24633 MAYFAIR ST, FLAT ROCK, MI 48134(313) 930-1169 Get Directions Write a Review

NPPES record last updated: March 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gary Alonzo Odom NPPES

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

GARY ALONZO ODOM (NPI 1902666910) is an individual home health provider in Flat Rock, Michigan and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1902666910
Entity TypeIndividualMale
Primary Taxonomy251E00000X
Provider Legal NameGARY ALONZO ODOM
Location Address24633 MAYFAIR STFlat Rock, MI 48134-1311
Mailing Address18511 Park Hill LnBrownstown Twp, MI 48183-4643
Phone(313) 930-1169
Sole ProprietorYes
Enumeration DateMarch 19, 2024
NPPES CertifiedMarch 19, 2024
✔ NPI 1902666910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
24633 MAYFAIR ST, Flat Rock, MI 48134
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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 Gary Odom's NPI number?

The NPI number for Gary Odom is 1902666910. It was assigned to this individual provider in the NPPES registry on March 19, 2024.

Where is Gary Odom located?

Gary Odom practices at 24633 Mayfair St, Flat Rock, MI 48134. The listed phone number is (313) 930-1169.

What is Gary Odom's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Gary Odom was last updated on March 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.