Organization Active NPI

The Salvation Army Family and Community Services

  • Community/Behavioral Health Agency
  • Chicago, IL
National Provider Identifier
1699050468
Registry record updated Oct 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
THE SALVATION ARMY FAMILY AND COMMUNITY SERVICES
Practice address
845 W 69TH St
Chicago, IL 60621-1709
Phone
(773) 382-4615
Fax
(773) 382-4649
NPI assigned
Oct 12, 2011
Organization subpart
Yes
Parent organization
THE SALVATION ARMYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 12, 2011

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

Authorized official

Name
Mr. Mark Emmet Rund, LCSW
Title
Supervisor of Clinical Services
Phone
(773) 382-4615

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

845 W 69TH St
Chicago, IL 60621-1709

Mailing address

4800 N Marine Dr
1St Floor
Chicago, IL 60640-7859
Phone (773) 433-5741

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.

Locations

4800 N Marine Dr
Fl 1
Chicago, IL 60640
Phone (773) 433-5741

NPI Registry JSON

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

{
    "created_epoch": "1318377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318377600000",
    "number": "1699050468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 N MARINE DR",
            "address_2": "1ST FLOOR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606407859",
            "telephone_number": "773-433-5741",
            "fax_number": "773-275-6288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 W 69TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606211709",
            "telephone_number": "773-382-4615",
            "fax_number": "773-382-4649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SALVATION ARMY FAMILY AND COMMUNITY SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE SALVATION ARMY",
        "enumeration_date": "2011-10-12",
        "last_updated": "2011-10-12",
        "status": "A",
        "authorized_official_last_name": "RUND",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "EMMET",
        "authorized_official_title_or_position": "SUPERVISOR OF CLINICAL SERVICES",
        "authorized_official_telephone_number": "773-382-4615",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "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 Oct 12, 2011; 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.