NPIMap

Organization Active NPI

The Salvation Army, a Georgia Corporation

Doing business as The Salvation Army Youth Services

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Birmingham, AL
National Provider Identifier
1750472932
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
005576 Issued in AL
Legal business name
THE SALVATION ARMY, A GEORGIA CORPORATION
Doing business as
The Salvation Army Youth Services
Practice address
6001 Crestwood Blvd
Birmingham, AL 35212-4203
Phone
(205) 595-8343
Fax
(205) 595-1996
NPI assigned
Sep 27, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
LT. Colonel David E. Jeffrey
Title
Vice- President
Phone
(404) 728-1300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 005576 AL Primary

Addresses

Primary practice location

6001 Crestwood Blvd
Birmingham, AL 35212-4203

Mailing address

6001 Crestwood Blvd
Birmingham, AL 35212-4203
Phone (205) 595-8343

Other names 1

  • The Salvation Army Youth Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
The Salvation Army7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750472932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 CRESTWOOD BLVD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352124203",
            "telephone_number": "205-595-8343",
            "fax_number": "205-595-1996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 CRESTWOOD BLVD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352124203",
            "telephone_number": "205-595-8343",
            "fax_number": "205-595-1996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SALVATION ARMY, A GEORGIA CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JEFFREY",
        "authorized_official_first_name": "LT. COLONEL   DAVID",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "VICE- PRESIDENT",
        "authorized_official_telephone_number": "404-728-1300"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "AL",
            "license": "005576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Salvation Army Youth Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.