SALVATION ARMY BEACON MATRIX PROGRAM IN CARVER COUNTY – NPI #1487785234
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.

SALVATION ARMY BEACON MATRIX PROGRAM IN CARVER COUNTY is a substance abuse rehabilitation facility located in CHASKA, MN. NPPES has assigned the NPI number 1487785234 to SALVATION ARMY BEACON MATRIX PROGRAM IN CARVER COUNTY on March 07, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SALVATION ARMY BEACON MATRIX PROGRAM IN CARVER COUNTY” is a dba name, the actual legal business name for this organization is THE SALVATION ARMY HARBOR LIGHT CENTER BEACON PROGRAM. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SALVATION ARMY BEACON MATRIX PROGRAM IN CARVER COUNTY below.

NPI Profile for
THE SALVATION ARMY HARBOR LIGHT CENTER BEACON PROGRAM

NPI Number
1487785234
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
THE SALVATION ARMY HARBOR LIGHT CENTER BEACON PROGRAM
Doing Business As (dba): SALVATION ARMY BEACON MATRIX PROGRAM IN CARVER COUNTY
Primary location
11065 VILLAGE ROAD
CHASKA, MN 55318
Phone: (952) 960-9715 Fax: (952) 960-9714
Mailing address
1010 CURRIE AVE
MINNEAPOLIS, MN 55403-1309
Phone: (612) 338-0113 Fax: (612) 338-4717
Organization Subpart
No
Authorized Official
DAVID TINKIS
CHIEF OPERATING OFFICER
Phone: (612) 767-3102
Updated
Identifiers

Identifiers for SALVATION ARMY BEACON MATRIX PROGRAM IN CARVER COUNTY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMN597555700
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
324500000X
- Substance Abuse Rehabilitation Facility (Primary)
MN 1042208-1-CDT

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.