NPIMap

Organization Active NPI

Salvation Army Addiction Treatment Services

  • Substance Abuse Rehabilitation Facility
  • Honolulu, HI
National Provider Identifier
1871660902
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
OHCA#13-STF Issued in HI
Legal business name
SALVATION ARMY ADDICTION TREATMENT SERVICES
Practice address
3624 Waokanaka St
Honolulu, HI 96817-5224
Phone
(808) 595-6371
Fax
(808) 595-8250
NPI assigned
Nov 30, 2006
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
Mr. Lawrence H. Williams
Title
Executive Director
Phone
(808) 595-6371

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X OHCA#13-STF HI Primary

Addresses

Primary practice location

3624 Waokanaka St
Honolulu, HI 96817-5224

Mailing address

3624 Waokanaka St
Honolulu, HI 96817-5224
Phone (808) 595-6371

Other names 1

  • Salvation Army ATS Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871660902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3624 WAOKANAKA ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968175224",
            "telephone_number": "808-595-6371",
            "fax_number": "808-595-8250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3624 WAOKANAKA ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968175224",
            "telephone_number": "808-595-6371",
            "fax_number": "808-595-8250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALVATION ARMY ADDICTION TREATMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "808-595-6371",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "HI",
            "license": "OHCA#13-STF",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Salvation Army ATS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Honolulu, HI

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.