Organization Active NPI

The Salvation Army

  • Substance Abuse Rehabilitation Facility
  • Tiyan, GU
National Provider Identifier
1275895005
Registry record updated Jun 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
THE SALVATION ARMY
Practice address
155004 Corsair Avenue
Tiyan, GU 96910-5004
Phone
(671) 477-7671
Fax
(671) 477-4649
NPI assigned
Jun 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2012

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

Authorized official

Name
Ms. Lourdes B Hongyee
Title
Program Coordinator
Phone
(671) 477-9801

Specialties & licenses 1

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

Addresses

Primary practice location

155004 Corsair Avenue
Tiyan, GU 96910-5004

Mailing address

PO Box 23038
Barrigada, GU 96921-3038
Phone (671) 477-7671

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1339027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339027200000",
    "number": "1275895005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23038",
            "city": "BARRIGADA",
            "state": "GU",
            "postal_code": "969213038",
            "telephone_number": "671-477-7671",
            "fax_number": "671-477-4649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155004 CORSAIR AVENUE",
            "city": "TIYAN",
            "state": "GU",
            "postal_code": "969105004",
            "telephone_number": "671-477-7671",
            "fax_number": "671-477-4649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SALVATION ARMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-07",
        "last_updated": "2012-06-07",
        "status": "A",
        "authorized_official_last_name": "HONGYEE",
        "authorized_official_first_name": "LOURDES",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PROGRAM COORDINATOR",
        "authorized_official_telephone_number": "671-477-9801",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "GU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2012; 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.