THE SALVATION ARMY HARBOR LIGHT MACOMB (NPI# 1689119729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689119729 |
| Entity Type | Organization |
| Organization Name | THE SALVATION ARMY HARBOR LIGHT MACOMB |
| Other Organization Name | SALVATION ARMY |
| Practice Address |
42950 Stepnitz Drive Clinton Township MI 48036 |
| Mailing Address |
42950 Stepnitz Clinton Township MI 48036 |
| Practice Telephone | 5869541838 |
| Practice Fax Number | 5869549856 |
| Mailing Telephone | 5869541838 |
| Mailing Fax Number | 5869549856 |
| Enumeration Date | 2016-12-28 |
| Last Update Date | 2016-12-28 |
| Authorized Official Name | MELINDA FIELDS (SITE ADMINISTRATOR) |
| Authorized Official Telephone | 5869541838 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | SA0500049 | MI | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 192055 | 05 |
| Other Name | Type Code |
|---|---|
| Salvation Army | Former Legal Business Name - Organization |
| Street Address |
42950 STEPNITZ DRIVE |
| City | CLINTON TOWNSHIP |
| State | MI |
| Zip Code | 48036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043728918 | Joseph John Memminger IIi | Pathology | 23885 Denton St Ste B, Clinton Township, MI 48036 | 2018-01-13 |
| 1124563267 | Melinda Fiends | Social Worker | 42950 Stepnitz, Clinton Township, MI 48036 | 2016-12-28 |
| 1639573033 | Mycare Health Center | Clinic/Center | 43740 Groesbeck, Clinton Township, MI 48036 | 2014-10-14 |
| 1427368992 | Prestigious Transportation | Non-emergency Medical Transport (VAN) | 22931 N.nunneley Apt. 203, Clinton Township, MI 48036 | 2010-10-18 |
| 1649413436 | Robert B Hengehold | Pharmacist | 37165 Groesbeck Hwy., Clinton Twp., MI 48036 | 2009-04-09 |
| 1548408461 | Rodolfo Sia Yapchai | Internal Medicine | 37900 Saddle Lane, Clinton Twp, MI 48036 | 2009-01-30 |
| 1811135775 | Anthony Frank Balcerzak | Rehabilitation Counselor | 38516 N Gratiot Avenue, Clinton Twp, MI 48036 | 2009-01-30 |
| 1508034661 | Laurie J Church | Counselor | 22800 Hall Rd Ste 240, Clinton Township, MI 48036 | 2008-02-12 |
| 1912128182 | Phyllis Ann Billings-mcneil | Social Worker | 38251 Groesbeck Highway, Clinton Twp, MI 48036 | 2007-05-02 |
| 1457578916 | Renette Bogden | Physical Therapist | 37400 Garfield, Clinton Twp, MI 48036 | 2007-04-19 |
| Find all providers in zip 48036 | ||||
| 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 |
|---|---|---|---|---|
| 1366063810 | Nc Recovery House LLC | Substance Abuse Rehabilitation Facility | 777 Colfax Ave, Benton Harbor, MI 49022-7406 | 2020-05-06 |
| 1235789074 | Green Castle Recovery Centers, LLC. | Substance Abuse Rehabilitation Facility | 233 Fulton St E Ste 101, Grand Rapids, MI 49503-3262 | 2019-09-13 |
| 1043773047 | New Paths, Inc. | Substance Abuse Rehabilitation Facility | 909 Martin Luther King Ave, Flint, MI 48503-1488 | 2019-04-08 |
| 1831651330 | Bethany House Recovery House | Substance Abuse Rehabilitation Facility | 722 S Rose St, Kalamazoo, MI 49007-5216 | 2019-04-03 |
| 1639631138 | Hope House Recovery House | Substance Abuse Rehabilitation Facility | 131 S Nottawa St, Sturgis, MI 49091-1736 | 2019-04-03 |
| 1811459324 | Healing House | Substance Abuse Rehabilitation Facility | 721 S Rose St Apt B, Kalamazoo, MI 49007-6200 | 2019-04-03 |
| 1669932109 | Inner Man Wellness and Support Services | Substance Abuse Rehabilitation Facility | 4890 Ballantrae Rd, Bloomfield, MI 48301-1000 | 2019-03-21 |
| 1528526266 | Mid-michigan Recovery Center | Substance Abuse Rehabilitation Facility | 3821 N Grant Ave, Harrison, MI 48625-9606 | 2019-03-12 |
| 1316410681 | The Light Treatment & Rehabilitation LLC | Substance Abuse Rehabilitation Facility | 5380 Kreger St, Sterling Heights, MI 48310-5728 | 2019-01-09 |
| 1306321179 | Yarrow Lodge, LLC | Substance Abuse Rehabilitation Facility | 10677 N 48th Street, Augusta, MI 49012 | 2018-09-27 |
| Find all providers with the same taxonomy | ||||
| City | CLINTON TOWNSHIP |
| Zip Code | 48036 |
Please comment or provide details below to improve the information on THE SALVATION ARMY HARBOR LIGHT MACOMB.
| 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.