NPIMap

Organization Active NPI

Adult Rehabilitation Program the Salvation Army

  • Substance Abuse Rehabilitation Facility
  • North Las Vegas, NV
National Provider Identifier
1053757765
Registry record updated May 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
74562 Issued in NV
Legal business name
ADULT REHABILITATION PROGRAM THE SALVATION ARMY
Practice address
211 Judson Ave
North Las Vegas, NV 89030-5642
Phone
(702) 399-2769
Fax
(702) 399-0271
NPI assigned
May 21, 2013
Last updated
May 21, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Merlyn Arthur Sexton
Title
Clinical Director
Phone
(702) 399-2769

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 74562 NV Primary

Addresses

Primary practice location

211 Judson Ave
North Las Vegas, NV 89030-5642

Mailing address

211 Judson Ave
North Las Vegas, NV 89030-5642
Phone (702) 399-2769

National Provider Directory

National Provider Directory
Tax ID family
The Salvation Army a California Corp23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

Organizations that report the same tax identification number in the National Provider Directory.

View all 22

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1369094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369094400000",
    "number": "1053757765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 JUDSON AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890305642",
            "telephone_number": "702-399-2769",
            "fax_number": "702-399-0271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 JUDSON AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890305642",
            "telephone_number": "702-399-2769",
            "fax_number": "702-399-0271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADULT REHABILITATION PROGRAM THE SALVATION ARMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-21",
        "last_updated": "2013-05-21",
        "status": "A",
        "authorized_official_last_name": "SEXTON",
        "authorized_official_first_name": "MERLYN",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "702-399-2769"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NV",
            "license": "74562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.