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THE SALVATION ARMY AN ILLINOIS CORPORATION NPI 1659851905


NPI Information

NPI: 1659851905
Provider Name: THE SALVATION ARMY, AN ILLINOIS CORPORATION

Doing Business As: THE HARBOR LIGHT CENTER

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
2400 N TIBBS AVE
INDIANAPOLIS, IN
ZIP 46222
Phone: (317) 972-1450
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THE SALVATION ARMY, AN ILLINOIS CORPORATION is a substance abuse rehabilitation facility in Indianapolis, IN. The provider is 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. THE SALVATION ARMY, AN ILLINOIS CORPORATION NPI is 1659851905. The provider is registered as an organization entity type.
The provider Is Doing Business As The Harbor Light Center.

The provider's business location address is:

2400 N TIBBS AVE
INDIANAPOLIS, IN
ZIP 46222-458
Phone: (317) 972-1450
Fax: (317) 972-1075

The provider's authorized official is Bramwell Higgins .
The authorized official title is Corporate Secretary and has the following contact phone number (847) 294-2000.

The enumeration date for this NPI number is 8/16/2018 and was last updated on 8/16/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation FacilityYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1324500000XMEDICAIDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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