ODYSSEY INC NPI 1669024303

NPI Information

  • NPI: 1669024303
  • Provider Name: ODYSSEY INC
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • Doing Business As: LYDIA'S HOUSE
  • CLIA Number: 18D2116950
  • Address: 185 MAGGARD STREET
    BENHAM, KY
    ZIP 40807
  • Phone: (606) 638-0938

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NPI Details

ODYSSEY INC is a substance abuse rehabilitation facility in Benham, KY. The provider is 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. ODYSSEY INC NPI is 1669024303. The provider is registered as an organization entity type.
The provider Is Doing Business As Lydia's House.

The provider's business location address is:

185 MAGGARD STREET
BENHAM, KY
ZIP 40807
Phone: (606) 638-0938

The provider's authorized official is Cheyenna Runyon .
The authorized official title is Director Of Credentialing and has the following contact phone number (606) 638-0938.

The CLIA number assigned to this NPI record is 18D2116950 - other - substance abuse treatment with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/12/2019 and was last updated on 12/16/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1324500000XSubstance Abuse Rehabilitation FacilityYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1810328OTHERKENTUCKYAODE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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