The Salvation Army, a Georgia Corp. - Mabee Center

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

THE SALVATION ARMY, A GEORGIA CORP. - MABEE CENTER

Practice address

1855 E. Lancaster Ave.
Fort Worth, TX 76103-2123

Phone

(817) 344-1831

Fax

(817) 338-9251

NPI assigned

Oct 2, 2020

Organization subpart

Yes

Parent organization

THE SALVATION ARMY, A GEORGIA CORP.As reported in NPPES

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

Authorized official

Name

Austruberto Flores III

Title

Assistant Treasurer

Phone

(404) 728-1300

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

The Salvation Army a Georgia Corporation7 organizations share this tax ID, including this one

Part of

The Salvation Army a Georgia Corporation

Other organizations with this tax ID 6

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

• The Salvation Army a Georgia Corporation

  • Adult Day Care Clinic/Center
  • Lufkin, TX
  • NPI 1285750745
  NPD tax ID
• The Salvation Army

  • Substance Abuse Rehabilitation Facility
  • Fort Myers, FL
  • NPI 1437500063
  NPD tax ID
• The Salvation Army

  • Community/Behavioral Health Agency
  • Memphis, TN
  • NPI 1922437581
  NPD tax ID
• The Salvation Army

  • Substance Abuse Rehabilitation Facility
  • Washington, DC
  • NPI 1972859577
  NPD tax ID
• The Salvation Army, a Georgia Corporation

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Birmingham, AL
  • NPI 1750472932
  NPD tax ID
• The Salvation Army, a Georgia Corporation

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Mobile, AL
  • NPI 1982734752
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• The Salvation Army a Georgia Corporation

  • Adult Day Care Clinic/Center
  • Lufkin, TX
  • NPI 1285750745
  NPPES parent name

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

{
    "created_epoch": "1601596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601596800000",
    "number": "1053918151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 E. LANCASTER AVE.",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761032123",
            "telephone_number": "817-344-1831",
            "fax_number": "817-338-9251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 E. LANCASTER AVE.",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761032123",
            "telephone_number": "817-344-1831",
            "fax_number": "817-338-9251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SALVATION ARMY, A GEORGIA CORP. - MABEE CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE SALVATION ARMY, A GEORGIA CORP.",
        "enumeration_date": "2020-10-02",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "AUSTRUBERTO",
        "authorized_official_title_or_position": "ASSISTANT TREASURER",
        "authorized_official_telephone_number": "404-728-1300",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UEIN (DUNS)",
            "identifier": "124732699",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Substance Abuse Rehabilitation Facility in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Substance Abuse Rehabilitation Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2020; 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.