SOBER LIFE INC. (NPI# 1528394418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528394418 |
| Entity Type | Organization |
| Organization Name | SOBER LIFE INC. |
| Practice Address |
5250 Santa Monica Blvd Suite 218 Los Angeles CA 90029-1252 |
| Practice Telephone | 3234653777 |
| Practice Fax Number | 3234653773 |
| Mailing Telephone | 3239130212 |
| Mailing Fax Number | 3239130219 |
| Enumeration Date | 2009-10-27 |
| Last Update Date | 2013-07-03 |
| Authorized Official Name | ANTRANIK KESHISHIAN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3239130212 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities | ||
| Y | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
Residential Treatment Facilities |
| Street Address |
5250 SANTA MONICA BLVD SUITE 218 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90029-1252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124004742 | Virginia Chan Castelo | Dentist | 5250 Santa Monica Blvd, Suite 210, Los Angeles, CA 90029 | 2005-12-15 |
| 1215333224 | Santa Monica Hospice Care, Inc. | Hospice Care, Community Based | 5250 Santa Monica Blvd, #218, Los Angeles, CA 90029-1252 | 2014-11-18 |
| 1043616055 | Hobart Hospice Care, Inc. | Hospice Care, Community Based | 5250 Santa Monica Blvd, #214, Los Angeles, CA 90029-1252 | 2014-11-18 |
| 1780013888 | Sun Soo Kim | Acupuncturist | 5250 Santa Monica Blvd, Suite 208, Los Angeles, CA 90029 | 2013-11-08 |
| 1043555451 | Sarah Louise Hess | Counselor | 5250 Santa Monica Blvd, 218, Los Angeles, CA 90029-1252 | 2012-12-11 |
| 1487999892 | Sergio Barron | Counselor | 5250 Santa Monica Blvd, 218/, Los Angeles, CA 90029-1252 | 2012-12-11 |
| 1306079611 | Magnolia Wellness Center, Inc. | Acupuncturist | 5250 Santa Monica Blvd, 306a, Los Angeles, CA 90029-1252 | 2009-09-02 |
| 1942474093 | Santa Monica Home Health Care, Inc. | Home Health | 5250 Santa Monica Blvd, Suite 305, Los Angeles, CA 90029-1252 | 2008-04-19 |
| 1952586125 | Shake Davtyan | Chiropractor | 5250 Santa Monica Blvd, Suite #307, Los Angeles, CA 90029-1252 | 2008-01-07 |
| 1477735603 | Ter- Zakarian Medical Clinic and Laboratory Services Inc | Family Medicine | 5250 Santa Monica Blvd, 310, Los Angeles, CA 90029-1252 | 2007-11-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053884775 | Melrose Recovery, LLC. | Substance Abuse Rehabilitation Facility | 1253 N Commonwealth Ave, Los Angeles, CA 90029 | 2019-01-04 |
| 1548740939 | Mission City Community Network Inc | Clinic/Center | 5300 Santa Monica Blvd Ste 202, Los Angeles, CA 90029 | 2018-08-15 |
| 1215454707 | Dennis De Vera | Respiratory Therapist, Registered | 1154 N. Berendo St, Los Angeles, CA 90029 | 2017-08-24 |
| 1508390881 | Acadia Malibu, Inc. | Community/Behavioral Health | 4423 and 4423 1/2 Santa Monica Boulevard, Los Angeles, CA 90029 | 2017-04-13 |
| 1023556610 | Jasen Mcgoldrick | Substance Abuse Rehabilitation Facility | 4445 Burns Ave., Los Angeles, CA 90029 | 2017-02-03 |
| 1679930572 | Sukhwa Park | Acupuncturist | 4870 Santa Monica Blvd, Los Angeles, CA 90029 | 2016-01-22 |
| 1629326749 | Jocelyn Anne Brown | Midwife | 1042 Sanborn Ave Apt 9, Los Angeles, CA 90029 | 2012-08-21 |
| 1811211915 | Advanced Skilled Nursing Inc. | Skilled Nursing Facility | 975 North Virgil Avenue, Los Angeles, CA 90029 | 2010-03-17 |
| 1427244060 | Manuel Masaganda Ferreras | Technician/Technologist | 1131 N Vermont Ave Ste 101, Los Angeles, CA 90029 | 2007-09-18 |
| 1033321013 | Zhirayr Jerry Khoshoryan | Chiropractor | 1233 Vermont Ave., Suite 1b, Los Angeles, CA 90029 | 2007-05-04 |
| Find all providers in zip 90029 | ||||
| Taxonomy Code | 3245S0500X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| Specialization | Substance Abuse Treatment, Children |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477161149 | Asian American Drug Abuse Program, Inc | Substance Abuse Rehabilitation Facility | 4625 Crenshaw Blvd, Los Angeles, CA 90043-1209 | 2020-07-20 |
| 1558704635 | Helen Robinson | Substance Abuse Rehabilitation Facility | 5838 Overhill Dr Ste 3, Los Angeles, CA 90043-2738 | 2013-04-09 |
| 1073854147 | Growth Extended | Substance Abuse Rehabilitation Facility | 439 S Serrano Ave, Los Angeles, CA 90020-3604 | 2013-03-14 |
| 1700148954 | Word of Life Ministry, Inc. | Substance Abuse Rehabilitation Facility | 1303 W 88th St, Los Angeles, CA 90044-2127 | 2012-06-13 |
| 1821302886 | His Sheltering Arms, Inc. | Substance Abuse Rehabilitation Facility | 11101 S Main St, Los Angeles, CA 90061-1925 | 2010-08-02 |
| 1194044974 | Helping Kids To Recover, Inc. | Substance Abuse Rehabilitation Facility | 12628 Avalon Boulevard, Los Angeles, CA 90061 | 2010-05-19 |
| 1386823789 | Helping Kids To Recover, Inc. | Substance Abuse Rehabilitation Facility | 10860 S Denker Ave, Los Angeles, CA 90047-4622 | 2007-11-01 |
| 1083893929 | Helping Kids To Recover, Inc. | Substance Abuse Rehabilitation Facility | 325 E 111th St, Los Angeles, CA 90061-3003 | 2007-10-29 |
| 1487847018 | Singleton Housing Project | Substance Abuse Rehabilitation Facility | 1897 W Jefferson Blvd Ste A, Los Angeles, CA 90018-3434 | 2007-08-27 |
| 1821200551 | The Discovery Program | Substance Abuse Rehabilitation Facility | 1831 Benecia Ave, Los Angeles, CA 90025-5011 | 2007-05-04 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90029 |
Please comment or provide details below to improve the information on SOBER LIFE INC..
| 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.