The Salvation Army - Serendipity

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

11806 Issued in AK

Legal business name

THE SALVATION ARMY - SERENDIPITY

Practice address

3550 E 20TH Ave
Anchorage, AK 99508-3414

Phone

(907) 279-0501

NPI assigned

Apr 10, 2007

Organization subpart

No

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

Authorized official

Name

Adelane M Kelly

Title

Divisional Finance Director

Phone

(907) 339-3406

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

The Salvation Army - Serendipity5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

• The Salvation Army Booth Memorial Cares for Kids Nursery

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Anchorage, AK
  • NPI 1326262890
  NPD tax ID
• The Salvation Army Booth Memorial Outpatient

  • Social Worker
  • Anchorage, AK
  • NPI 1023232808
  NPD tax ID
• The Salvation Army Booth Memorial Residential Childcare

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Anchorage, AK
  • NPI 1265656730
  NPD tax ID
• The Salvation Army Older Alaskans Program

  • Home Delivered Meals
  • Anchorage, AK
  • NPI 1386867315
  NPD tax ID

Locations

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376766485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 E 9TH AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995013618",
            "telephone_number": "907-339-3406",
            "fax_number": "907-276-2611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 E 20TH AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995083414",
            "telephone_number": "907-279-0501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SALVATION ARMY - SERENDIPITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "ADELANE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIVISIONAL FINANCE DIRECTOR",
        "authorized_official_telephone_number": "907-339-3406"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "AK",
            "license": "11806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HC9508",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Oriental Healing Arts Center LLC
• The Physical Therapy Place, LLC
• The Premier Life of Anchorage
• The Recovery Zone/ Myobalance LLC
• The Salvation Army
• The Salvation Army Booth Memorial Cares for Kids Nursery
• The Salvation Army Booth Memorial Outpatient
• The Salvation Army Booth Memorial Residential Childcare
• The Salvation Army Clitheroe Center
• The Salvation Army Clitheroe Center - Dual Diagnosis

• All providers in Anchorage, AK
• Adult Day Care Clinic/Center in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.