NPIMap

Organization Active NPI

Salvation Army Family and Community Services

  • Community/Behavioral Health Agency
  • Chicago, IL
National Provider Identifier
1912264540
Registry record updated Apr 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
149-001561 Issued in IL
Legal business name
SALVATION ARMY FAMILY AND COMMUNITY SERVICES
Practice address
5045 W 47TH St
Chicago, IL 60638-2038
Phone
(773) 735-6773
Fax
(773) 735-6713
NPI assigned
Apr 20, 2012
Organization subpart
Yes
Parent organization
THE SALVATION ARMYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 20, 2012

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

Authorized official

Name
Mr. Stephen Lepse, LCSW
Title
Director
Phone
(773) 433-5745

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 149-001561 IL Primary

Addresses

Primary practice location

5045 W 47TH St
Chicago, IL 60638-2038

Mailing address

4800 N Marine Dr
Chicago, IL 60640-7859
Phone (773) 433-5736

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

5045 W 47th St
Chicago, IL 60638
Phone (773) 735-6773

NPI Registry JSON

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

{
    "created_epoch": "1334880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334880000000",
    "number": "1912264540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 N MARINE DR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606407859",
            "telephone_number": "773-433-5736",
            "fax_number": "773-275-6288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5045 W 47TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606382038",
            "telephone_number": "773-735-6773",
            "fax_number": "773-735-6713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALVATION ARMY FAMILY AND COMMUNITY SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE SALVATION ARMY",
        "enumeration_date": "2012-04-20",
        "last_updated": "2012-04-20",
        "status": "A",
        "authorized_official_last_name": "LEPSE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "773-433-5745",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "149-001561",
            "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 Apr 20, 2012; 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.