Organization Active NPI

The Salvation Army

  • Adult Day Care Clinic/Center
  • Henderson, NV
National Provider Identifier
1548437965
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
THE SALVATION ARMY
Practice address
830 E Lake Mead Pkwy
Henderson, NV 89015-5512
Phone
(702) 565-8836
Fax
(702) 558-8277
NPI assigned
May 14, 2008
Last updated
Jun 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Authorized official

Name
Angel Dennis
Title
Director of Services
Phone
(702) 701-5370

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X NU Primary

Addresses

Primary practice location

830 E Lake Mead Pkwy
Henderson, NV 89015-5512

Mailing address

830 E Lake Mead Pkwy
Henderson, NV 89015-5512
Phone (702) 565-8836

Other practice location 1

2900 Palomino Ln
Las Vegas, NV 89107-4506
Phone (702) 701-5370

Other identifiers 1

IdentifierTypeStateIssuer
3902001MedicaidNV

National Provider Directory

National Provider Directory
Tax ID family
The Salvation Army3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

830 E Lake Mead Pkwy
Henderson, NV 89015
Phone (702) 565-8836

NPI Registry JSON

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781654400000",
    "number": "1548437965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 E LAKE MEAD PKWY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890155512",
            "telephone_number": "702-565-8836",
            "fax_number": "702-558-8277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 E LAKE MEAD PKWY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890155512",
            "telephone_number": "702-565-8836",
            "fax_number": "702-558-8277"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2900 Palomino Ln",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891074506",
            "country_code": "US",
            "telephone_number": "702-701-5370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE SALVATION ARMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A",
        "authorized_official_last_name": "DENNIS",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_title_or_position": "DIRECTOR OF SERVICES",
        "authorized_official_telephone_number": "702-701-5370"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3902001",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; 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.