NPIMap

Organization Active NPI

The Salvation Army Harbor Light Center

  • Substance Abuse Rehabilitation Facility
  • Chicago, IL
National Provider Identifier
1952832727
Registry record updated Mar 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
THE SALVATION ARMY HARBOR LIGHT CENTER
Practice address
825 N Christiana Ave
Chicago, IL 60651-4110
Phone
(312) 667-2253
Fax
(312) 421-0823
NPI assigned
Mar 23, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2020

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

Authorized official

Name
Mr. Merrill D. Powers
Title
Executive Director
Phone
(312) 667-2266

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

825 N Christiana Ave
Chicago, IL 60651-4110

Mailing address

825 N Christiana Ave
Chicago, IL 60651-4110
Phone (312) 667-2253

National Provider Directory

National Provider Directory
Tax ID family
Salvation Army Metro Division8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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": "1490227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583366400000",
    "number": "1952832727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 N CHRISTIANA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606514110",
            "telephone_number": "312-667-2253",
            "fax_number": "312-421-0823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 N CHRISTIANA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606514110",
            "telephone_number": "312-667-2253",
            "fax_number": "312-421-0823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SALVATION ARMY HARBOR LIGHT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-23",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A",
        "authorized_official_last_name": "POWERS",
        "authorized_official_first_name": "MERRILL",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "312-667-2266",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "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 Mar 5, 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.