NPIMap

Organization Active NPI

The Salvation Army Harbor Light Macomb

  • Substance Abuse Rehabilitation Facility
  • Clinton Township, MI
National Provider Identifier
1689119729
Registry record updated Dec 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
SA0500049 Issued in MI
Legal business name
THE SALVATION ARMY HARBOR LIGHT MACOMB
Practice address
42950 Stepnitz Drive
Clinton Township, MI 48036
Phone
(586) 954-1838
Fax
(586) 954-9856
NPI assigned
Dec 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2016

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

Authorized official

Name
Melinda Fields
Title
Site Administrator
Phone
(586) 954-1838

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X SA0500049 MI Primary

Addresses

Primary practice location

42950 Stepnitz Drive
Clinton Township, MI 48036

Mailing address

42950 Stepnitz
Clinton Township, MI 48036
Phone (586) 954-1838

Other identifiers 1

IdentifierTypeStateIssuer
192055MedicaidMI

Other names 1

  • Salvation Army Former legal business name

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.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1482883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482883200000",
    "number": "1689119729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42950 STEPNITZ",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "48036",
            "telephone_number": "586-954-1838",
            "fax_number": "586-954-9856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42950 STEPNITZ DRIVE",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "48036",
            "telephone_number": "586-954-1838",
            "fax_number": "586-954-9856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SALVATION ARMY HARBOR LIGHT MACOMB",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-28",
        "last_updated": "2016-12-28",
        "status": "A",
        "authorized_official_last_name": "FIELDS",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_title_or_position": "SITE ADMINISTRATOR",
        "authorized_official_telephone_number": "586-954-1838"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MI",
            "license": "SA0500049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "192055",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Salvation Army",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Clinton Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2016; 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.