The Salvation Army Harbor Light Center

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

800161-2-CDT Issued in MN

Legal business name

THE SALVATION ARMY HARBOR LIGHT CENTER

Practice address

1010 Currie Ave
Minneapolis, MN 55403-1309

Phone

(612) 338-0113

Fax

(612) 338-4717

NPI assigned

Mar 7, 2007

Organization subpart

No

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

Authorized official

Name

David Tinkis

Title

Chief Operating Officer

Phone

(612) 338-0113

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760512800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 CURRIE AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554031309",
            "telephone_number": "612-338-0113",
            "fax_number": "612-338-4717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 CURRIE AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554031309",
            "telephone_number": "612-338-0113",
            "fax_number": "612-338-4717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SALVATION ARMY HARBOR LIGHT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TINKIS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "612-338-0113"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MN",
            "license": "800161-2-CDT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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.