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THE SALVATION ARMY BOOTH MEMORIAL RESIDENTIAL CHILDCARE
NPI 1265656730
Residential Treatment Facility, Emotionally Disturbed Children in Anchorage, AK

Active since April 13, 2007
3600 E 20TH AVE, ANCHORAGE, AK 99508(907) 279-0522 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About The Salvation Army Booth Memorial Residential Childcare NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE SALVATION ARMY BOOTH MEMORIAL RESIDENTIAL CHILDCARE (NPI 1265656730) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Anchorage, Alaska and active in the NPI registry since April 2007. The organization lists Adelane M Kelly, Divisional Finance Director, as its authorized official.

NPPES Registry Identity

NPI1265656730
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameTHE SALVATION ARMY BOOTH MEMORIAL RESIDENTIAL CHILDCARE
Location Address3600 E 20TH AVEAnchorage, AK 99508-3416
Mailing Address143 E 9th AveAnchorage, AK 99501-3618 · (907) 339-3406 · Fax (907) 276-2611
Phone(907) 279-0522
Organization SubpartNo
Authorized OfficialAdelane M KellyDivisional Finance Director · (907) 339-3406
Enumeration DateApril 13, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1265656730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
License✔ Licensed in AK · 11806
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
3600 E 20TH AVE, Anchorage, AK 99508
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Other Identifiers 1

MedicaidBR0005AK

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TERE LYNN TURNER MS, CDCI
Counselor
3600 E 20TH AVE
ANCHORAGE, AK 99508
Anchorage Municipality (907) 743-8733
THE SALVATION ARMY BOOTH MEMORIAL OUTPATIENT
Social Worker
3600 E 20TH AVE
ANCHORAGE, AK 99508
Anchorage Municipality (907) 279-0522
DAISY ANN KYRISS CDC I
Counselor (Addiction (Substance Use Disorder))
3600 E 20TH AVE
ANCHORAGE, AK 99508
Anchorage Municipality (907) 276-2515
THE SALVATION ARMY BOOTH MEMORIAL CARES FOR KIDS NURSERY
Residential Treatment Facility, Emotionally Disturbed Children
3600 E 20TH AVE
ANCHORAGE, AK 99508
Anchorage Municipality (907) 279-0522
SCOTT CRAIG NICLOY PSYD,, ABHC, ADM
Counselor
3600 E 20TH AVE
ANCHORAGE, AK 99508
Anchorage Municipality (907) 743-8733
ANGEL C MCGOWAN CDCI BHCII
Counselor
3600 E 20TH AVE
ANCHORAGE, AK 99508
Anchorage Municipality (907) 743-8733
MRS. TINA DEMELFI-WARNER MS
Counselor
3600 E 20TH AVE
ANCHORAGE, AK 99508
Anchorage Municipality (907) 743-8733
THE SALVATION ARMY
Community/Behavioral Health
3600 E 20TH AVE
ANCHORAGE, AK 99508
Anchorage Municipality (907) 375-3505

Frequently 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 The Salvation Army Booth Memorial Residential Childcare's NPI number?

The NPI number for The Salvation Army Booth Memorial Residential Childcare is 1265656730. It was assigned to this organization in the NPPES registry on April 13, 2007.

Where is The Salvation Army Booth Memorial Residential Childcare located?

The Salvation Army Booth Memorial Residential Childcare is located at 3600 E 20th Ave, Anchorage, AK 99508. The listed phone number is (907) 279-0522.

What is The Salvation Army Booth Memorial Residential Childcare's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for The Salvation Army Booth Memorial Residential Childcare was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.