SALVATION ARMY HARBOR LIGHT NPI 1225692619

NPI Information

NPI: 1225692619
Provider Name: SALVATION ARMY HARBOR LIGHT
Classification: Respite Care - 385H00000X
Entity Type: Organization
Other Name: MEDICAL RESPITE
Address: 3737 LAWTON ST
DETROIT, MI
ZIP 48208
Phone: (313) 361-6136

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NPI Details

SALVATION ARMY HARBOR LIGHT is a respite care in Detroit, MI. SALVATION ARMY HARBOR LIGHT NPI is 1225692619. The provider is registered as an organization entity type.
The provider Other Name Is Medical Respite.

The provider's business location address is:

3737 LAWTON ST
DETROIT, MI
ZIP 48208-500
Phone: (313) 361-6136
Fax: (313) 361-6210

The provider's authorized official is Michelle Gates .
The authorized official title is Quality Assurance and has the following contact phone number (313) 361-6136.

The enumeration date for this NPI number is 5/1/2019 and was last updated on 10/14/2024.

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 Code	Taxonomy Clasification	Primary
1	177F00000X	Lodging	No
2	251B00000X	Case Management	No
3	385H00000X	Respite Care	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0272428	MEDICAID	MICHIGAN

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: 3/30/2025

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