A SOBER WAY HOME (NPI# 1215263314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215263314 |
Entity Type | Organization |
Organization Name | A SOBER WAY HOME |
Practice Address |
609 W Gurley St Prescott AZ 86305-3619 |
Mailing Address |
609 W Gurley St Prescott AZ 86305 |
Practice Telephone | 9287763073 |
Enumeration Date | 2009-10-23 |
Last Update Date | 2009-10-23 |
Authorized Official Name | SANDRA TILLMAN (PRESIDENT) |
Authorized Official Telephone | 9287763073 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 276400000X | Rehabilitation, Substance Use Disorder Unit | BH3230 | AZ | Hospital Units |
Y | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
BH3230 | AZ | Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982894036 | A Sober Way Home | Rehabilitation, Substance Use Disorder Unit | 1211 East Gurley Street, Suite 2, Prescott, AZ 86301 | 2007-07-25 |
Street Address |
609 W GURLEY ST |
City | PRESCOTT |
State | AZ |
Zip Code | 86305-3619 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972005395 | Granite View Adult Care Home LLC | Assisted Living Facility | 7105 Williamson Valley Road, Prescott, AZ 86305 | 2018-03-01 |
1215468095 | Valerie Williams | Occupational Therapist | 926 S. Hinman Dr., Prescott, AZ 86305 | 2017-03-23 |
1174073837 | Caspian Gleam Medical Center LLC | Clinic/Center | 3130 Stillwater Drive, Suite B, Prescott, AZ 86305 | 2016-10-06 |
1114388634 | Marla Beth Perkins | Speech-Language Pathologist | 3160 Stillwater Dr., Prescott, AZ 86305 | 2016-03-10 |
1790159853 | Michele A. Bibeau, D.d.s. | Dentist | 1058 Fair Street, Suite A, Prescott, AZ 86305 | 2015-11-30 |
1609264837 | Integrative Pain Centres of Prescott | Pain Medicine | 3769 Crossings Drive, Suite B, Integrative Pain Centres of Prescott, Prescott, AZ 86305 | 2014-12-22 |
1649697251 | Sharon Marilyn Jackson | Counselor | 3636 Crossings Drive, Prescott, AZ 86305 | 2014-03-20 |
1215351259 | Stefanie Maneval | Registered Nurse | 900 Iron Springs Rd, Prescott, AZ 86305 | 2014-02-11 |
1508207523 | Recovery In The Pines, LLC | Community/Behavioral Health | 919 12th Place #13, Prescott, AZ 86305 | 2013-07-08 |
1871857359 | Neal Herbert Segovia Cabaluna | Internal Medicine | 3773 Crossings Dr Ste C, Prescott, AZ 86305 | 2012-06-28 |
Find all providers in zip 86305 |
Taxonomy Code | 261QR0401X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194278457 | Silver Sands Recovery, LLC | Clinic/Center | 3636 Crossings Dr Ste C, Prescott, AZ 86305-7190 | 2016-08-03 |
1881062065 | Watson Woods Healthcare, Inc. | Clinic/Center | 1045 Scott Dr, Prescott, AZ 86301-1731 | 2015-09-04 |
1326376369 | Life Care Centers of America, Inc. | Clinic/Center | 1045 Scott Dr, Prescott, AZ 86301-1731 | 2009-12-03 |
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1730651969 | Left of Bang Lcc | Clinic/Center | 1201 E Cooley St Ste D, Show Low, AZ 85901-5145 | 2018-12-28 |
1972981520 | Blue Vase Recovery Center LLC | Clinic/Center | 1201 E Cooley St, Suite B, Show Low, AZ 85901-5122 | 2015-05-15 |
1477786226 | Paragon Healthcare of Arizona,llc. | Clinic/Center | 2585 S Miracle Mile, Suite 107, Bullhead City, AZ 86442-7522 | 2009-08-27 |
1366641219 | Saguaro Rehabilitation and Aquatic Therapy LLC | Clinic/Center | 305 N Plaza Dr, Apache Junction, AZ 85220-5505 | 2007-07-12 |
1073734075 | Toyei Industries Incorporated | Clinic/Center | Tselanicottonwood Chapter 15 Navajo Rt 4, Chinle, AZ 86503-8650 | 2007-05-01 |
1326091455 | Advanced Medical Therapy, LLC | Clinic/Center | 15640 North 7th Street, Ste 6, Phoenix, AZ 85022 | 2006-05-18 |
1104827963 | La Posada At Park Centre Inc | Clinic/Center | 700 S La Posada Cir, Green Valley, AZ 85614-5100 | 2005-08-02 |
1669095758 | Scottsdale Mental Health and Wellness Institute | Clinic/Center | 8350 E Raintree Dr Ste 130, Scottsdale, AZ 85260-2692 | 2020-05-22 |
1174173579 | Arion Care Solutions, LLC | Clinic/Center | 3200 N Dobson Rd Ste F-2, Chandler, AZ 85224-9611 | 2019-09-17 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.