NPIMap

Organization Active NPI

Harbor Light Center, Salvation Army

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Chicago, IL
National Provider Identifier
1649486887
Registry record updated Mar 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
HARBOR LIGHT CENTER, SALVATION ARMY
Practice address
825 N Christiana Ave
Chicago, IL 60651-4110
Phone
(312) 667-2253
Fax
(312) 421-0823
NPI assigned
May 15, 2007
Organization subpart
Yes
Parent organization
THE SALVATION ARMY AN ILLIONIS CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 5, 2020

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

Authorized official

Name
Mr. Merrill D Powers, SALVATION ARMY
Title
Executive Director
Phone
(312) 667-2266

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

825 N Christiana Ave
Chicago, IL 60651-4110

Mailing address

825 N Christiana Ave
Chicago, IL 60651-4110
Phone (312) 667-2253

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.

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583366400000",
    "number": "1649486887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 N CHRISTIANA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606514110",
            "telephone_number": "312-667-2253",
            "fax_number": "312-421-0823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 N CHRISTIANA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606514110",
            "telephone_number": "312-667-2253",
            "fax_number": "312-421-0823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR LIGHT CENTER, SALVATION ARMY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE SALVATION ARMY AN ILLIONIS CORPORATION",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A",
        "authorized_official_last_name": "POWERS",
        "authorized_official_first_name": "MERRILL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "312-667-2266",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "SALVATION ARMY"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.