The Salvation Army, an Illinois Corporation

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

THE SALVATION ARMY, AN ILLINOIS CORPORATION

Doing business as

The Harbor Light Center

Practice address

2400 N Tibbs Ave
Indianapolis, IN 46222-2458

Phone

(317) 972-1450

Fax

(317) 972-1075

NPI assigned

Aug 16, 2018

Organization subpart

No

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

Authorized official

Name

Bramwell Higgins

Title

Corporate Secretary

Phone

(847) 294-2000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Harbor Light Center Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thomas Dascoli, M.D.

  • Family Medicine Physician
  • Indianapolis, IN
  • NPI 1922049360
  NPD (past)

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

{
    "created_epoch": "1534377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534377600000",
    "number": "1659851905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 N TIBBS AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462222458",
            "telephone_number": "317-972-1450",
            "fax_number": "317-972-1075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 N TIBBS AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462222458",
            "telephone_number": "317-972-1450",
            "fax_number": "317-972-1075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SALVATION ARMY, AN ILLINOIS CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-16",
        "last_updated": "2018-08-16",
        "status": "A",
        "authorized_official_last_name": "HIGGINS",
        "authorized_official_first_name": "BRAMWELL",
        "authorized_official_title_or_position": "CORPORATE SECRETARY",
        "authorized_official_telephone_number": "847-294-2000"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "324500000X",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Harbor Light Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Promptcare Companies, Inc.
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• The Root Therapy LLC
• The Special Woman Boutique, Inc
• The TLC House and Residential Services LLC
• The Umbrella Center
• The Urban Initiative
• The Wandering Mind Counseling, LLC

• Substance Abuse Rehabilitation Facility in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Substance Abuse Rehabilitation Facility in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; 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.