THE SALVATION ARMY, AN ILLINOIS CORPORATION (NPI# 1659851905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659851905 |
| Entity Type | Organization |
| Organization Name | THE SALVATION ARMY, AN ILLINOIS CORPORATION |
| Other Organization Name | THE HARBOR LIGHT CENTER |
| Practice Address |
2400 N Tibbs Ave Indianapolis IN 46222-2458 |
| Practice Telephone | 3179721450 |
| Practice Fax Number | 3179721075 |
| Mailing Telephone | 3179721450 |
| Mailing Fax Number | 3179721075 |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2018-08-16 |
| Authorized Official Name | BRAMWELL HIGGINS (CORPORATE SECRETARY) |
| Authorized Official Telephone | 8472942000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 324500000X | 05 |
| Other Name | Type Code |
|---|---|
| The Harbor Light Center | Doing Business As Name - Organization |
| Street Address |
2400 N TIBBS AVE |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46222-2458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871194472 | Megan Mccullough | Pharmacist | 10617 East Washington Street, Pharmacy At Walmart, Indianapolis, IN 46222 | 2020-11-02 |
| 1215401450 | Resilient Services | Counselor | 3519 W Michigan Street, Indianapolis, IN 46222 | 2019-01-21 |
| 1376925487 | Ossama Elbarawy | Dentist | 2410 W. 17th St, Indianapolis, IN 46222 | 2015-06-25 |
| 1780025163 | Suzy Q Service Cororation | Chore Provider | 2401 N Tibbs Ave, Indianapolis, IN 46222 | 2013-07-12 |
| 1952607939 | Monica Lee Mcmullen | Dietitian, Registered | 2732 West Michigan St., Westside Health Center, Indianapolis, IN 46222 | 2011-02-08 |
| 1306082318 | Jose Fanor Melendez | Psychiatry & Neurology | 3422 N. Taft Av, Indianapolis, IN 46222 | 2008-12-22 |
| 1861693277 | David Hazra | Preventive Medicine | 340 S. White River Parkway, Indianapolis, IN 46222 | 2007-05-31 |
| 1528191467 | Rem Indiana | Intermediate Care Facility, Mentally Retarded | 3025 Green Hills Lane, Indianapolis, IN 46222 | 2007-03-13 |
| 1366589467 | Indianapolis Osteopathic Hospital Inc. | Podiatrist | 3520 Guion Rd Suite 204, Indianapolis, IN 46222 | 2007-01-30 |
| 1508919077 | Ronald L. Gemma | Family Medicine | 3750 Guion Rd., Ste. 185, Indianapolis, IN 46222 | 2007-01-19 |
| Find all providers in zip 46222 | ||||
| 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 |
|---|---|---|---|---|
| 1699302356 | Evolve Indy LLC | Substance Abuse Rehabilitation Facility | 8770 Guion Rd Ste B, Indianapolis, IN 46268-3017 | 2020-03-24 |
| 1366082091 | Celtic Recovery, LLC | Substance Abuse Rehabilitation Facility | 5660 Madison Ave, Indianapolis, IN 46227-4671 | 2020-01-10 |
| 1265915805 | Truth Treatment Center | Substance Abuse Rehabilitation Facility | 7150 Madison Ave, Indianapolis, IN 46227-5269 | 2018-09-10 |
| 1629675012 | 8530 Township Line Road Opco LLC | Substance Abuse Rehabilitation Facility | 8530 Township Line Rd, Indianapolis, IN 46260-1927 | 2020-10-08 |
| 1710511068 | Landmark Recovery of Carmel, LLC | Substance Abuse Rehabilitation Facility | 6330 Digital Way, Indianapolis, IN 46278-1667 | 2020-02-26 |
| 1518507011 | Landmark Recovery of Indianapolis LLC | Substance Abuse Rehabilitation Facility | 6330 Digital Way, Indianapolis, IN 46278-1667 | 2020-01-13 |
| 1659913739 | Chosen Lawrence Manor LLC | Substance Abuse Rehabilitation Facility | 8935 E 46th St, Indianapolis, IN 46226-4125 | 2019-10-10 |
| 1164064242 | Chosen Capitol Village LLC | Substance Abuse Rehabilitation Facility | 2926 N Capitol Ave, Indianapolis, IN 46208-5131 | 2019-10-10 |
| 1700432341 | Newday Center | Substance Abuse Rehabilitation Facility | 6330 Digital Way, Indianapolis, IN 46278-1667 | 2019-08-09 |
| 1811463060 | 8935 East 46th Street LLC | Substance Abuse Rehabilitation Facility | 8935 E 46th St, Indianapolis, IN 46226-4125 | 2018-10-15 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46222 |
Please comment or provide details below to improve the information on THE SALVATION ARMY, AN ILLINOIS CORPORATION.
| 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.