SOBER LIFE RECOVERY SOLUTIONS LLC (NPI# 1386148625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386148625 |
Entity Type | Organization |
Organization Name | SOBER LIFE RECOVERY SOLUTIONS LLC |
Practice Address |
1446 Front St Ste 400 San Diego CA 92101-3425 |
Practice Telephone | 6195429542 |
Mailing Telephone | 6195429542 |
Enumeration Date | 2018-03-21 |
Last Update Date | 2019-01-14 |
Authorized Official Name | DR. JOHN MICHAEL EVOSEVICH (CEO) |
Authorized Official Telephone | 6195429542 |
Authorized Official Credential | PHD, LMFT, CADC, |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
CA | Ambulatory Health Care Facilities |
Street Address |
1446 FRONT ST STE 400 |
City | SAN DIEGO |
State | CA |
Zip Code | 92101-3425 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003415472 | Ryanleo Flores | Nurse Practitioner | 2017 1st Avenue, Suite 301, San Diego, CA 92101 | 2020-10-18 |
1265056048 | Tilbe Yildirim | Student in an Organized Health Care Education/Training Program | 1963 Fourth Ave., San Diego, CA 92101 | 2020-06-08 |
1235752585 | Liminal Solutions LLC | Home Health | 845 15th Street, Floors 1-4, San Diego, CA 92101 | 2020-05-21 |
1699258459 | Talya Donahue | Peer Specialist | 1045 Ninth Ave, San Diego, CA 92101 | 2018-09-07 |
1700380086 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 1850 5th Ave, San Diego, CA 92101 | 2018-03-21 |
1013436161 | Yasmin Galicianava | Student in an Organized Health Care Education/Training Program | 734 Tenth Ave, San Diego, CA 92101 | 2017-09-10 |
1487172516 | Jessica Roach | Counselor | 1045 9th Avenue, San Diego, CA 92101 | 2017-09-09 |
1699204099 | Lisa Nunez | Student in an Organized Health Care Education/Training Program | 1963 4th Avenue, San Diego, CA 92101 | 2017-06-08 |
1356882245 | Dajah Mone't Lockett | Counselor | 2535 Kettner Blvd Suite 1a4, San Diego, CA 92101 | 2017-03-13 |
1649718495 | Luigi Bunyi | Behavior Technician | 501 W Broadway Suite 800, San Diego, CA 92101 | 2017-02-01 |
Find all providers in zip 92101 |
Taxonomy Code | 261QR0405X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation, Substance Use Disorder |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447898473 | Abc Sober Living | Clinic/Center | 2123 Garnet Ave, San Diego, CA 92109-3663 | 2019-12-20 |
1477115525 | Lifemark Solutions LLC | Clinic/Center | 3065 Rosecrans Pl Ste 202, San Diego, CA 92110-4822 | 2019-06-28 |
1497230429 | Ethridge Recovery Center | Clinic/Center | 405 63rd St, San Diego, CA 92114-4237 | 2018-09-25 |
1023595519 | Holistix Treatment Centers LLC | Clinic/Center | 6310 Alvarado Ct, San Diego, CA 92120-4902 | 2018-07-26 |
1124539960 | Crash, Inc. | Clinic/Center | 835 25th St, San Diego, CA 92102-2738 | 2017-10-19 |
1538611165 | The Betty Ford Center At San Diego | Clinic/Center | 11720 El Camino Real, Suite 200, San Diego, CA 92130-2224 | 2016-10-31 |
1730552084 | San Diego Student Recovery, LLC | Clinic/Center | 5440 Morehouse Dr Ste 4500, San Diego, CA 92121-6724 | 2015-11-09 |
1841699352 | Community Behavioral Health Solutions, Inc | Clinic/Center | 7071 Consolidated Way, San Diego, CA 92121 | 2014-08-20 |
1700989829 | San Diego Health Alliance | Clinic/Center | 7545 Metropolitan Dr, San Diego, CA 92108-4402 | 2006-09-06 |
1053889634 | Crash, Inc. | Clinic/Center | 835 25th St, San Diego, CA 92102-2738 | 2018-11-13 |
Find all providers in SAN DIEGO |
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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.