SALVATION ARMY BEACON MATRIX PROGRAM IN CARVER COUNTY
NPI 1487785234
Substance Abuse Rehabilitation Facility in Chaska, MN

Active since March 07, 2007
11065 VILLAGE ROAD, CHASKA, MN 55318(952) 960-9715(952) 960-9714 Get Directions Write a Review

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

About Salvation Army Beacon Matrix Program In Carver County NPPES

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

SALVATION ARMY BEACON MATRIX PROGRAM IN CARVER COUNTY (NPI 1487785234) is a healthcare organization registered as a substance abuse rehabilitation facility in Chaska, Minnesota and active in the NPI registry since March 2007. The organization lists David Tinkis, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1487785234
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameTHE SALVATION ARMY HARBOR LIGHT CENTER BEACON PROGRAM
Location Address11065 VILLAGE ROADChaska, MN 55318
Mailing Address1010 Currie AveMinneapolis, MN 55403-1309 · (612) 338-0113 · Fax (612) 338-4717
Fax(952) 960-9714
Organization SubpartNo
Authorized OfficialDavid TinkisChief Operating Officer · (612) 767-3102
Enumeration DateMarch 7, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1487785234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License Licensed in MN · 1042208-1-CDT
Definition
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.
11065 VILLAGE ROAD, Chaska, MN 55318

Other Names 1

Doing Business AsSalvation Army Beacon Matrix Program In Carver County

Other Identifiers 1

Medicaid597555700MN

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 Harbor Light Center Beacon Program's NPI number?

The NPI number for The Salvation Army Harbor Light Center Beacon Program is 1487785234. It was assigned to this organization in the NPPES registry on March 7, 2007. The provider is doing business as Salvation Army Beacon Matrix Program In Carver County.

Where is The Salvation Army Harbor Light Center Beacon Program located?

The Salvation Army Harbor Light Center Beacon Program is located at 11065 Village Road, Chaska, MN 55318. The listed phone number is (952) 960-9715.

What is The Salvation Army Harbor Light Center Beacon Program's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for The Salvation Army Harbor Light Center Beacon Program 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.