SALVATION ARMY HARBOR LIGHTS
NPI 1083185193
Clinic/Center - Federally Qualified Health Center (FQHC) in Minneapolis, MN
About Salvation Army Harbor Lights NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SALVATION ARMY HARBOR LIGHTS (NPI 1083185193) is a healthcare organization registered as a federally qualified health center (fqhc) in Minneapolis, Minnesota and active in the NPI registry since December 2018. The organization holds 3 active CLIA laboratory certificates and lists Stephanie Abel, Area Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Salvation Army Harbor Lights is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
192Medicare enrollment records show 192 clinicians reassign Medicare billing to Salvation Army Harbor Lights, which bills Medicare for the services they deliver. Of these, 168 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 19
Nearest to this location (20)
See all 192Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 3
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 24D1078578
Hennepin County Public Safety Facility Point Of Care · Minneapolis, MNCertificate of Accreditation 24D0401928
Hennepin County Medical Center · Minneapolis, MNCertificate of Compliance 24D0687071
Hennepin County Public Health Clinic · Minneapolis, MNFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Hennepin County's NPI number?
The NPI number for Hennepin County is 1083185193. It was assigned to this organization in the NPPES registry on December 16, 2018. The provider is doing business as Salvation Army Harbor Lights.
Where is Hennepin County located?
Hennepin County is located at 1010 Currie Ave, Minneapolis, MN 55403. The listed phone number is (612) 348-5553.
What is Hennepin County's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Hennepin County enrolled in Medicare?
Yes. Hennepin County is registered in the Medicare PECOS enrollment system.
When is Hennepin County's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Minnesota, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Hennepin County?
According to the CMS Revalidation Reassignment List (October 2026 release), 192 clinicians in 19 Medicare specialties reassign their Medicare billing to Hennepin County. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (62), Clinical Social Worker (38) and Family Practice (21). Of these, 168 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Hennepin County hold CLIA laboratory certificates?
Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
When was this NPI record last updated?
The NPPES record for Hennepin County was last updated on December 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Salvation Army Harbor Lights · NPI 1083185193
Federally Qualified Health Center (FQHC) organization in Minneapolis, Minnesota. Organization record, active in the CMS NPPES registry since December 16, 2018.
## Identity
- **NPI:** 1083185193 (Entity type: Organization)
- **Enumerated:** December 16, 2018
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Hennepin County
- **Organization subpart:** No
- **Authorized official:** Stephanie Abel, AREA MANAGER
## Practice location
- **Address:** 1010 CURRIE AVE, Minneapolis, MN 55403-1309
- **Phone:** (612) 348-5553 · **Fax:** (612) 377-6299
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Minnesota, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 192 clinicians in 19 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (62), Clinical Social Worker (38), Family Practice (21); 168 practice within 10 miles; [full list](https://npiprofile.com/npi/1083185193/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 19, 2018
- **CLIA laboratory certificates:** 3 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1083185193) · Data from the CMS NPPES public registry.