THE SALVATION ARMY, A GEORGIA CORP. - MABEE CENTER (NPI# 1053918151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053918151 |
| Entity Type | Organization |
| Organization Name | THE SALVATION ARMY, A GEORGIA CORP. - MABEE CENTER |
| Practice Address |
1855 E. Lancaster Ave. Fort Worth TX 76103-2123 |
| Practice Telephone | 8173441831 |
| Practice Fax Number | 8173389251 |
| Mailing Telephone | 8173441831 |
| Mailing Fax Number | 8173389251 |
| Enumeration Date | 2020-10-02 |
| Last Update Date | 2020-10-02 |
| Authorized Official Name | AUSTRUBERTO FLORES III (ASSISTANT TREASURER) |
| Authorized Official Telephone | 4047281300 |
| Is Organization Subpart | Y |
| Parent Organization Name | THE SALVATION ARMY, A GEORGIA CORP. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | UEIN (DUNS) | 124732699 | 01 |
| Street Address |
1855 E. LANCASTER AVE. |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76103-2123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487170353 | Wafaa Sabrina Chatila | Specialist/Technologist | 1307 W Mitchell St, Arlington, TX 76103 | 2017-08-22 |
| 1598281107 | Daisy Marie Coleman | Licensed Vocational Nurse | 3500 Canyon Ridge Ave, Fort Worth, TX 76103 | 2017-08-15 |
| 1972054724 | Endurance Home Health Care | Home Health | 3605 West Pioneer Parkway, Suite A5-a6, Pantego, TX 76103 | 2016-10-17 |
| 1295011369 | Marvin Eugene Williams | Dentist | 3913 E. Lancaster, Ft. Worth, TX 76103 | 2011-11-02 |
| 1790095347 | Stephanie Ann Adams | Counselor | 2401 Oakland Blvd., Suite 100, Fort Worth, TX 76103 | 2010-10-18 |
| 1376797407 | South Texas Dental Associates, L.p. | Dentist | 4229 East Lancaster Ave., Fort Worth, TX 76103 | 2008-11-17 |
| 1093998429 | Dallas/fort Worth Urology Consultants | Urology | 4809 Brentwood Stair Road, Fort Worth, TX 76103 | 2007-12-07 |
| 1700073434 | Brentwood Stair Chiropractic | Chiropractor | 4809 Brentwood Stair Rd, Fort Worth, TX 76103 | 2007-09-26 |
| 1750430583 | Henry J Bedford | Nurse Anesthetist, Certified Registered | 1807 A W Park Row, Arlington, TX 76103 | 2007-01-10 |
| 1356705131 | Vgr Vision, Inc | Technician/Technologist | 309 S Oakland Blvd, Fort Worth, TX 76103 | 2016-04-07 |
| Find all providers in zip 76103 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629580287 | Arise Recovery Centers of America, LLC | Substance Abuse Rehabilitation Facility | 6115 Camp Bowie Blvd Ste 220, Fort Worth, TX 76116-5543 | 2017-11-03 |
| 1558818534 | Clearfork Academy Lp | Substance Abuse Rehabilitation Facility | 7820 Hanger Cut Off, Fort Worth, TX 76135 | 2016-09-07 |
| 1033453170 | Sober By Grace, Inc. | Substance Abuse Rehabilitation Facility | 2451 Bomar Ave, Fort Worth, TX 76103-2211 | 2012-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496302 | Sunrise Rehab and Recovery, LLC | Substance Abuse Rehabilitation Facility | 1106 N Interstate 35, San Marcos, TX 78666-7030 | 2020-10-26 |
| 1124627443 | Resurgence Texas | Substance Abuse Rehabilitation Facility | 10703 Ranch Road 12, Wimberley, TX 78676-5239 | 2020-10-19 |
| 1174139364 | Voice To Discovery Community | Substance Abuse Rehabilitation Facility | 7811 Hornwood Dr, Houston, TX 77036-4115 | 2020-09-22 |
| 1093329484 | Alara Health | Substance Abuse Rehabilitation Facility | 4731 County Road 172, Alvin, TX 77511-0325 | 2020-09-02 |
| 1659982437 | Oliver-west Health and Wellness Center | Substance Abuse Rehabilitation Facility | 9009 Boone Rd Ste A, Houston, TX 77099-2033 | 2020-08-13 |
| 1730798893 | Starlite Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 2210 Bandera Hwy Ste C-1, Kerrville, TX 78028-6609 | 2020-07-24 |
| 1043837644 | Alaine Detox Center LLC | Substance Abuse Rehabilitation Facility | 3505 Sage Rd Unit 2504, Houston, TX 77056-7183 | 2020-06-30 |
| 1821614181 | Lighthouse Recovery Centers, LLC | Substance Abuse Rehabilitation Facility | 5344 Alpha Rd, Dallas, TX 75240-3428 | 2020-06-23 |
| 1306460266 | Revive F W | Substance Abuse Rehabilitation Facility | 10907 Martindale Rd, Houston, TX 77048-2011 | 2020-06-05 |
| 1396365870 | Texas Health Recovery and Wellness Center | Substance Abuse Rehabilitation Facility | 240 N Miller Rd, Mansfield, TX 76063-5842 | 2020-04-24 |
| Find all providers with the same taxonomy | ||||
| City | FORT WORTH |
| Zip Code | 76103 |
Please comment or provide details below to improve the information on THE SALVATION ARMY, A GEORGIA CORP. - MABEE CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.