NPIMap

Organization Active NPI

Salvation Army-Harbor Light

  • Respite Care
  • Detroit, MI
National Provider Identifier
1104645613
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
Legal business name
SALVATION ARMY-HARBOR LIGHT
Practice address
3737 Lawton St
Detroit, MI 48208-2500
Phone
(313) 361-6163
Fax
(313) 361-6210
NPI assigned
Oct 10, 2024
Organization subpart
Yes
Parent organization
SALVATION ARMY HARBOR LIGHTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Authorized official

Name
Michelle Gates
Title
Quality Assurance
Phone
(313) 361-6136

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Lodging Provider 177F00000X
Case Management Agency 251B00000X
Respite Care 385H00000X Primary

Addresses

Primary practice location

3737 Lawton St
Detroit, MI 48208-2500

Mailing address

3737 Lawton St
Detroit, MI 48208-2500
Phone (313) 361-6163

Other practice location 1

1215 Fulton St E
Grand Rapids, MI 49503-3849
Phone (616) 742-0351

Other practice location 2

42590 Stepnitz Dr
Clinton Township, MI 48036-3161
Phone (586) 954-1838

Other practice location 3

3250 N Monroe St
Monroe, MI 48162-9297
Phone (734) 384-3402

Other names 2

  • SALVATION ARMY Other name
  • SALVATION ARMY HARBOR LIGHT Other name

National Provider Directory

National Provider Directory
Tax ID family
Salvation Army Harbor Light Macomb8 organizations share this tax ID, including this one
Part of
Salvation Army Harbor Light Macomb

Other organizations with this tax ID 7

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

Locations

42590 Stepnitz Dr
Clinton Twp, MI 48036
Phone (586) 954-1838

1215 Fulton St E
Grand Rapids, MI 49503
Phone (616) 459-9468

NPI Registry JSON

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

{
    "created_epoch": "1728518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728518400000",
    "number": "1104645613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3737 LAWTON ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482082500",
            "telephone_number": "313-361-6163",
            "fax_number": "313-361-6210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 LAWTON ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482082500",
            "telephone_number": "313-361-6163",
            "fax_number": "313-361-6210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1215 Fulton St E",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495033849",
            "country_code": "US",
            "telephone_number": "616-742-0351",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "42590 Stepnitz Dr",
            "address_purpose": "LOCATION",
            "city": "Clinton Township",
            "state": "MI",
            "postal_code": "480363161",
            "country_code": "US",
            "telephone_number": "586-954-1838",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3250 N Monroe St",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "MI",
            "postal_code": "481629297",
            "country_code": "US",
            "telephone_number": "734-384-3402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SALVATION ARMY-HARBOR LIGHT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SALVATION ARMY HARBOR LIGHT",
        "enumeration_date": "2024-10-10",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A",
        "authorized_official_last_name": "GATES",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "QUALITY ASSURANCE",
        "authorized_official_telephone_number": "313-361-6136"
    },
    "taxonomies": [
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SALVATION ARMY",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "SALVATION ARMY HARBOR LIGHT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; 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.