ODYSSEY HOUSE INC – Substance Use Disorder Rehabilitation Clinic/Center, NPI 1033143706
Substance Use Disorder Rehabilitation Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for ODYSSEY HOUSE INC
344 E 100 S STE 301
SALT LAKE CITY, UT 841111727
Phone: (801) 322-4257
Fax: (801) 322-2831
Type: Mailing
880 E 3375 S
Salt Lake City, UT 841061536
Phone: (801) 322-3222
Fax: (801) 478-2686
Type: Location
124 W 1400 S
Salt Lake City, UT 841155200
Phone: (801) 322-3222
Type: Location
2411 S 1070 W Ste B
West Valley City, UT 841191570
Phone: (801) 322-3222
Type: Location
117 W 400 S
SALT LAKE CITY, UT 841011916
Phone: (801) 322-4257
Fax: (801) 322-2831
Type: Mailing
745 E 300 S
Salt Lake City, UT 841022256
Phone: (801) 322-3222
Type: Location
645 S 1300 E
Salt Lake City, UT 841023206
Phone: (801) 322-3222
Type: Location
607 E 200 S
Salt Lake City, UT 841022110
Phone: (801) 322-3222
Type: Location
3944 S 400 E
Salt Lake City, UT 841071600
Phone: (801) 322-3222
Type: Location
68 S 600 E
Salt Lake City, UT 841021007
Phone: (801) 322-3222
Type: Location
61 W 3900 S
Murray, UT 841071431
Phone: (801) 322-3222
Type: Location
344 E 100 S
Salt Lake City, UT 841111700
Phone: (801) 322-3222
Type: Location
42 S 500 E
Salt Lake City, UT 841021002
Phone: (801) 322-3222
Type: Location
350 E 2100 S
South Salt Lake, UT 841152266
Phone: (801) 322-3222
Type: Location
6150 S Redwood Rd
Taylorsville, UT 841235308
Phone: (801) 322-3222
Type: Location
8537 S Redwood Rd Ste A1
West Jordan, UT 840884806
Phone: (801) 322-3222
Type: Location
100 South, East Central, Salt Lake City, Salt Lake County, Utah, 84102, United States
SALT LAKE CITY, UT 841111702
Phone: (801) 322-3222
Fax: (801) 322-2831
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2006-02-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20060222000116 | O | Clinic/Group Practice | UT | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84111)
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Reviews
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