ODYSSEY - EAGAN – NPI #1245364645
Substance Abuse Rehabilitation Facility

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.

Health Care Provider Taxonomy Code for Substance Abuse Rehabilitation Facility

ODYSSEY - EAGAN is a substance abuse rehabilitation facility located in EAGAN, MN. NPPES has assigned the NPI number 1245364645 to ODYSSEY - EAGAN on March 15, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ODYSSEY - EAGAN” is a dba name, the actual legal business name for this organization is ODYSSEY PROGRAMS LLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

The NPI profile was previously updated about 18 years ago on Sep 16, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ODYSSEY - EAGAN below.

NPI Profile for
ODYSSEY PROGRAMS LLC

NPI Number
1245364645
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ODYSSEY PROGRAMS LLC
Doing Business As (dba): ODYSSEY - EAGAN
Primary location
1230 EAGAN INDUSTRIAL ROAD
SUITE 100
EAGAN, MN 55121
Phone: (612) 916-4873 Fax:
Mailing address
550 MAIN STREET
SUITE 230
NEW BRIGHTON, MN 55112
Phone: (612) 326-7600 Fax: (651) 631-3231
Organization Subpart
No
Authorized Official
PAUL LINDEMAN
DIRECTOR - REVENUE CYCLE MGMT
Phone: (612) 326-7566
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
324500000X
- Substance Abuse Rehabilitation Facility (Primary)		 MN 8309164CDT
101YA0400X
- Counselor / Addiction (Substance Use Disorder)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.