National Provider Identifier Database

ODYSSEY PROGRAMS LLC
Substance Abuse Disorder 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.


Contact Information

ODYSSEY PROGRAMS LLC
1230 EAGAN INDUSTRIAL ROAD
SUITE 100
EAGAN, MN55121
Phone: 612-916-4873
Fax:
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X
Addiction (Substance Use Disorder) 101YA0400X

* Indicates primary specialty

NPI Profile & details for ODYSSEY PROGRAMS LLC

NPI Number 1245364645
Legal business name
LBN
ODYSSEY PROGRAMS LLC
Authorized official PAUL LINDEMAN - (DIRECTOR - REVENUE CYCLE MGMT)
Entity Organization
Organization subpart No
Enumeration date 03/15/2007
Last updated 09/16/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • MN License #: 8309164CDT

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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