NPIMap

Organization Active NPI

Salvation Army Harbor Light Macomb

  • Mental Illness Community Based Residential Treatment Facility
  • Shelby Township, MI
National Provider Identifier
1508010679
Registry record updated Nov 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
SALVATION ARMY HARBOR LIGHT MACOMB
Practice address
14030 Lakeside Blvd N
Apt C-221
Shelby Township, MI 48315-6050
Phone
(586) 212-7734
NPI assigned
Nov 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2008

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

Authorized official

Name
Major Seaver
Title
Site Supervisor
Phone
(586) 954-1838

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

14030 Lakeside Blvd N
Apt C-221
Shelby Township, MI 48315-6050

Mailing address

42590 Stepnitz Dr
Clinton Township, MI 48036-3161

National Provider Directory

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

Other organizations with this tax ID 7

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

NPI Registry JSON

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

{
    "created_epoch": "1226707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226707200000",
    "number": "1508010679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42590 STEPNITZ DR",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480363161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14030 LAKESIDE BLVD N",
            "address_2": "APT C-221",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483156050",
            "telephone_number": "586-212-7734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALVATION ARMY HARBOR LIGHT MACOMB",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-15",
        "last_updated": "2008-11-15",
        "status": "A",
        "authorized_official_last_name": "SEAVER",
        "authorized_official_first_name": "MAJOR",
        "authorized_official_title_or_position": "SITE SUPERVISOR",
        "authorized_official_telephone_number": "586-954-1838"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2008; 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.