1. Home
  2. Directory
  3. Michigan
  4. Grand Rapids
  5. Clinic Center
  6. NPI Profile

SALVATION ARMY
NPI 1679135438
Clinic/Center - Rehabilitation, Substance Use Disorder in Grand Rapids, MI

Active since July 02, 2019CLIA 23D1097066 · Waiver
72 SHELDON AVE SE, GRAND RAPIDS, MI 49503(616) 742-0351 Get Directions Write a Review

NPPES record last updated: July 2, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Salvation Army NPPES

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

SALVATION ARMY (NPI 1679135438) is a healthcare organization registered as a rehabilitation, substance use disorder in Grand Rapids, Michigan and active in the NPI registry since July 2019. The organization holds a CLIA Waiver certificate valid through March 17, 2027 and lists Rachael B Boafo, Lpn, as its authorized official.

NPPES Registry Identity

NPI1679135438
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameSALVATION ARMY
Location Address72 SHELDON AVE SEGrand Rapids, MI 49503-4234
Mailing Address72 Sheldon Ave SeGrand Rapids, MI 49503-4234
Phone(616) 742-0351
Organization SubpartNo
Authorized OfficialRachael B BoafoLpn · (616) 481-9414
Enumeration DateJuly 2, 2019
✔ NPI 1679135438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
72 SHELDON AVE SE, Grand Rapids, MI 49503
Open in Google Maps ↗

CLIA Laboratory Certificates CMS CLIA

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 23D1097066

Salvation Army Turning Point Programs , The · Grand Rapids, MI
Active · expires Mar 17, 2027
CLIA Number23D1097066
Laboratory TypeSubstance Use Disorder
Certificate Effective DateMarch 18, 2025
Certificate Expiration DateMarch 17, 2027
Laboratory DirectorKari A. Harburn
Laboratory Phone(616) 742-0351
Laboratory LocationSalvation Army Turning Point Programs , The1215 E Fulton St, Grand Rapids, MI 49505
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

EMILY FOWLER BEMBEN PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
72 SHELDON AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 331-9830
LAUREN VACHON AGNP-C
Nurse Practitioner (Family)
72 SHELDON AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 331-9830
MS. JENNIFER LYNN FRISBIE PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
72 SHELDON AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 331-9830
JERRICA KALLIO FNP-BC, CPNP-PC
Nurse Practitioner (Family)
72 SHELDON AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 331-9830

Frequently Asked Questions

What is SALVATION ARMY's NPI number?

The NPI number assigned to this healthcare provider is 1679135438, enumerated as an "organization" on July 02, 2019.

Where is the provider located?

The provider is located at 72 SHELDON AVE SE GRAND RAPIDS, MI 49503 and the phone number is (616) 742-0351.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.