NPIMap

Organization Active NPI

The Salvation Family and Community Services

  • Community/Behavioral Health Agency
  • Des Plaines, IL
National Provider Identifier
1497030266
Registry record updated Oct 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
THE SALVATION FAMILY AND COMMUNITY SERVICES
Practice address
609 W Dempster St
Des Plaines, IL 60016-2651
Phone
(847) 981-9113
Fax
(847) 981-9110
NPI assigned
Oct 12, 2011
Organization subpart
Yes
Parent organization
THE SALVATION ARMYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 12, 2011

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

Authorized official

Name
Mr. Mark Emmet Rund, LCSW
Title
Supervisor of Clinical Services
Phone
(773) 382-4615

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

609 W Dempster St
Des Plaines, IL 60016-2651

Mailing address

4800 N Marine Dr
1St Floor
Chicago, IL 60640-7859
Phone (773) 433-5741

National Provider Directory

National Provider Directory
Tax ID family
Salvation Army Metro Division8 organizations share this tax ID, including this one
Part of
Salvation Army Metro Division

Other organizations with this tax ID 7

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

Locations

609 W Dempster St
Des Plaines, IL 60016
Phone (847) 981-9113

NPI Registry JSON

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

{
    "created_epoch": "1318377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318377600000",
    "number": "1497030266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 N MARINE DR",
            "address_2": "1ST FLOOR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606407859",
            "telephone_number": "773-433-5741",
            "fax_number": "773-275-6288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 W DEMPSTER ST",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600162651",
            "telephone_number": "847-981-9113",
            "fax_number": "847-981-9110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SALVATION FAMILY AND COMMUNITY SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE SALVATION ARMY",
        "enumeration_date": "2011-10-12",
        "last_updated": "2011-10-12",
        "status": "A",
        "authorized_official_last_name": "RUND",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "EMMET",
        "authorized_official_title_or_position": "SUPERVISOR OF CLINICAL SERVICES",
        "authorized_official_telephone_number": "773-382-4615",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2011; 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.