The Salvation Army

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

SA0820103 Issued in MI

Legal business name

THE SALVATION ARMY

Practice address

3737 Lawton St
Detroit, MI 48208-2500

Phone

(313) 361-6136

Fax

(313) 361-6211

NPI assigned

May 13, 2014

Organization subpart

No

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

Authorized official

Name

Cynthia Mainville

Title

Administrator

Phone

(313) 361-6136

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

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.

• Salvation Army Harbor Light

  • Respite Care
  • Detroit, MI
  • NPI 1225692619
  NPD tax ID
• Salvation Army Harbor Light

  • Substance Abuse Rehabilitation Facility
  • Monroe, MI
  • NPI 1861747578
  NPD tax ID
• Salvation Army Harbor Light Macomb

  • Mental Illness Community Based Residential Treatment Facility
  • Shelby Township, MI
  • NPI 1508010679
  NPD tax ID
• Salvation Army-Harbor Light

  • Respite Care
  • Detroit, MI
  • NPI 1104645613
  NPD tax ID
• Salvation Army-Harbor Light

  • Substance Abuse Rehabilitation Facility
  • Detroit, MI
  • NPI 1811094998
  NPD tax ID
• The Salvation Army Habor Light Onward

  • Community/Behavioral Health Agency
  • Warren, MI
  • NPI 1568998425
  NPD tax ID
• The Salvation Army Harbor Light Macomb

  • Substance Abuse Rehabilitation Facility
  • Clinton Township, MI
  • NPI 1689119729
  NPD tax ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sally Torres, LMSW

  • Clinical Social Worker
  • Detroit, MI
  • NPI 1578985099
  Medicare reassignment
• Vanessa Chatman

  • Case Manager/Care Coordinator
  • Detroit, MI
  • NPI 1073456844
  NPD (past)
• Sarah Elizabeth Taylor, LLMSW

  • Clinical Social Worker
  • Detroit, MI
  • NPI 1285005108
  NPD (past)

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

{
    "created_epoch": "1399939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614816000000",
    "number": "1609287655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3737 LAWTON ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482082500",
            "telephone_number": "313-361-6136",
            "fax_number": "313-361-6211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 LAWTON ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482082500",
            "telephone_number": "313-361-6136",
            "fax_number": "313-361-6211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SALVATION ARMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-13",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A",
        "authorized_official_last_name": "MAINVILLE",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "313-361-6136"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MI",
            "license": "SA0820103",
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• The Patient Partner HHA LLC
• The People'S Champ Home Help Services LLC
• The Road of Excelleance Ministry Outreach Church
• The Royal Group Men
• The Salvation Army Denby Center
• The Seed Project Inc
• The Society of St. Vincent de Paul Detroit
• The Think Tank 3D
• The W Beauty and Barber Lounge

• Substance Abuse Rehabilitation Facility in Detroit, MI
• Providers in Detroit, MI by specialty
• Substance Abuse Rehabilitation Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.