Organization Active NPI

The Salvation Army

  • Adult Day Care Clinic/Center
  • Maplewood, MN
National Provider Identifier
1992342513
Registry record updated Dec 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
THE SALVATION ARMY
Practice address
2080 Woodlynn Ave
Maplewood, MN 55109-1418
Phone
(651) 779-9177
Fax
(651) 779-5979
NPI assigned
Dec 2, 2019
Organization subpart
Yes
Parent organization
THE SALVATION ARMYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 2, 2019

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

Authorized official

Name
Allison Uthke-Scaletta, DELEGATED OFFICIAL
Title
Government Grantwriter
Phone
(651) 746-3543

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

2080 Woodlynn Ave
Maplewood, MN 55109-1418

Mailing address

2445 Prior Ave N
Roseville, MN 55113-2714
Phone (651) 746-3400

Other names 1

  • Lakewood Adult Day Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
The Salvation Army3 organizations share this tax ID, including this one
Part of
The Salvation Army

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2080 Woodlynn Ave
Maplewood, MN 55109
Phone (651) 779-9177

2445 Prior Ave N
Roseville, MN 55113

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1575244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575244800000",
    "number": "1992342513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2445 PRIOR AVE N",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551132714",
            "telephone_number": "651-746-3400",
            "fax_number": "651-746-3546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 WOODLYNN AVE",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551091418",
            "telephone_number": "651-779-9177",
            "fax_number": "651-779-5979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SALVATION ARMY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE SALVATION ARMY",
        "enumeration_date": "2019-12-02",
        "last_updated": "2019-12-02",
        "status": "A",
        "authorized_official_last_name": "UTHKE-SCALETTA",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_title_or_position": "GOVERNMENT GRANTWRITER",
        "authorized_official_telephone_number": "651-746-3543",
        "authorized_official_credential": "DELEGATED OFFICIAL"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakewood Adult Day Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Maplewood, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2019; 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.