SOBRIETY HOUSE (NPI# 1235595281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235595281 |
| Entity Type | Organization |
| Organization Name | SOBRIETY HOUSE |
| Practice Address |
2081 W Grand Blvd Detroit MI 48208-1105 |
| Practice Telephone | 3138950500 |
| Practice Fax Number | 3138959503 |
| Mailing Telephone | 3138950500 |
| Mailing Fax Number | 3138959503 |
| Enumeration Date | 2016-01-06 |
| Last Update Date | 2018-06-20 |
| Authorized Official Name | MRS. JEANINE MCINTOSH MCINTOSH (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3138950500 |
| Authorized Official Credential | MA,LPC,CAADC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 324500000X | Substance Abuse Rehabilitation Facility | MI | Residential Treatment Facilities | |
| Y | 324500000X | Substance Abuse Rehabilitation Facility | ========= | MI | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 38-1799883 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073988333 | Sobriety House | Substance Abuse Rehabilitation Facility | 2150 E Vernor Hwy, Apt 413, Detroit, MI 48207-2744 | 2015-12-11 |
| 1356527162 | Sobriety House | Substance Abuse Rehabilitation Facility | 126 General Chennault St Ne, Albuquerque, NM 87123-2515 | 2008-01-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SOBRIETY HOUSE | 1041 Redondo Ave, Long Beach, CA 90804-3928 |
| Street Address |
2081 W GRAND BLVD |
| City | DETROIT |
| State | MI |
| Zip Code | 48208-1105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336353838 | Lionel Ross Bass | Counselor | 2081 W Grand Blvd, Detroit, MI 48208-1105 | 2007-05-10 |
| 1699312181 | Anzeleaise Ariea Thorns | Social Worker | 2081 W Grand Blvd, Detroit, MI 48208-1105 | 2019-12-04 |
| 1033776745 | Nathan Latta | Counselor | 2081 W Grand Blvd, Detroit, MI 48208-1105 | 2019-05-29 |
| 1013571199 | Darrin Gordon | Counselor | 2081 W Grand Blvd, Detroit, MI 48208-1196 | 2019-04-24 |
| 1649753310 | Darrell Lamont Gibbs | Counselor | 2081 W Grand Blvd, Detroit, MI 48208-1196 | 2018-09-10 |
| 1528574985 | Rotonja L Hall | Counselor | 2081 W Grand Blvd, Detroit, MI 48208-1105 | 2017-12-21 |
| 1871009175 | Micheal Wesley Cain | Counselor | 2081 W Grand Blvd, Detroit, MI 48208-1105 | 2017-12-21 |
| 1447760111 | Darrell Barnes-bey | Peer Specialist | 2081 W Grand Blvd, Detroit, MI 48208-1105 | 2017-10-06 |
| 1083002471 | Steven Duane Pritchett | Counselor | 2081 W Grand Blvd, 2081 W.grand Blvd, Detroit, MI 48208-1105 | 2015-01-07 |
| 1962890780 | Larry Edwards | Counselor | 2081 W Grand Blvd, Detroit, MI 48208-1105 | 2014-12-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023616554 | Henry Ford Health System | Pharmacy | 2800 W Grand Blvd, Detroit, MI 48208 | 2020-10-16 |
| 1932645405 | Diane Louise Dodson | Counselor | 5500 Trumbull Apt 315, Detroit, MI 48208 | 2017-01-09 |
| 1164881306 | Cory Eugene Martin | Counselor | 1852 W. Grand Blvd., Detroit, MI 48208 | 2016-02-16 |
| 1578947784 | Hamza Belhaj | Dentist | 2700 Martin Luther King Jr Blvd, Detroit, MI 48208 | 2015-07-17 |
| 1942629167 | Diana Pool | Counselor | 3737 Lawton, Detroit, MI 48208 | 2014-04-15 |
| 1124467048 | Aisha Williams | Social Worker | 4707 Vinewood St., Detroit, MI 48208 | 2013-06-25 |
| 1295079895 | Mia Love | Nurse Practitioner | 2959 Martin Luther King Jr Blvd, Detroit, MI 48208 | 2012-11-20 |
| 1992064356 | Valarie Egeria Foulks | Counselor | 2051 W. Grand Blvd, Detroit, MI 48208 | 2012-05-04 |
| 1023304078 | Ayana Njeri Davis | Massage Therapist | 2550 W. Grand Blvd, Detroit, MI 48208 | 2011-06-28 |
| 1184922627 | Shar Inc. | Community Based Residential Treatment Facility, Mental Illness | 1852 W.grand Blvd, Detroit, MI 48208 | 2011-03-08 |
| Find all providers in zip 48208 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| 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. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457718165 | Shar Inc. | Substance Abuse Rehabilitation Facility | 9961 Patton St, Detroit, MI 48228-1217 | 2016-01-26 |
| 1073988333 | Sobriety House | Substance Abuse Rehabilitation Facility | 2150 E Vernor Hwy, Apt 413, Detroit, MI 48207-2744 | 2015-12-11 |
| 1003180902 | Cherry Streat Health Services | Substance Abuse Rehabilitation Facility | 11105 E Jefferson Ave, Detroit, MI 48214-3317 | 2012-02-24 |
| 1871866475 | Positive Images | Substance Abuse Rehabilitation Facility | 13336 E.warren, Detroit, MI 48229 | 2012-02-14 |
| 1861778680 | Pure Recovery Inc. | Substance Abuse Rehabilitation Facility | 19406 Norwood St, Detroit, MI 48234-1870 | 2011-10-25 |
| 1396047239 | Renaissance Recovery | Substance Abuse Rehabilitation Facility | 5250 John R St, Detroit, MI 48202-4030 | 2010-11-29 |
| 1912227075 | Juda Transitional & Recovery House | Substance Abuse Rehabilitation Facility | 5579 Vancouver St, Detroit, MI 48204-3607 | 2010-06-10 |
| 1386974913 | Stategies of Life Outreach Centers | Substance Abuse Rehabilitation Facility | 17850 Mcdougall St, Detroit, MI 48212-1040 | 2010-01-04 |
| 1922335181 | Robert IIi Baptiste Thompson | Substance Abuse Rehabilitation Facility | 2616 Puritan St, Detroit, MI 48238-1420 | 2009-11-09 |
| 1013143676 | Marian's Center for Woman's Growth | Substance Abuse Rehabilitation Facility | 5247 Sheridan St, Detroit, MI 48213-2868 | 2009-06-09 |
| Find all providers in DETROIT | ||||
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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.