The Salvation Army, A Georgia Corp. - Mabee Center
Substance Abuse Rehabilitation Facility in Fort Worth, TX. Organization (NPI-2).
NPI number1053918151
StatusActive
Last updated in NPPESOct 2, 2020
Details
- NPI
- 1053918151
- Entity type
- Organization (NPI-2)
- Legal business name
- The Salvation Army, A Georgia Corp. - Mabee Center
- Organization subpart
- Yes
- Enumeration date
- Oct 2, 2020
- Certification date
- Oct 2, 2020
- Last updated
- Oct 2, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 324500000X | Substance Abuse Rehabilitation Facility | – | – | Yes |
Practice location
1855 E. Lancaster Ave.Fort Worth, TX 76103-2123
Phone 817-344-1831 · Fax 817-338-9251
Mailing address
1855 E. Lancaster Ave.Fort Worth, TX 76103-2123
Phone 817-344-1831 · Fax 817-338-9251
Authorized official
Austruberto Flores
Assistant Treasurer
4047281300
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Substance Abuse Rehabilitation Facility providers in Fort Worth, TX
Checking a whole list?
Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 10 free a day, then credits from $29 for 5,000. Useful for credentialing, billing and pharmacy claim checks.