SANCTUARY SOBER LIVING LLC NPI 1457067670

NPI Information

  • NPI: 1457067670
  • Provider Name: SANCTUARY SOBER LIVING LLC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Address: 11645 N CAVE CREEK RD
    PHOENIX, AZ
    ZIP 85020
  • Phone: (602) 612-3816

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NPI Details

SANCTUARY SOBER LIVING LLC is a clinic center in Phoenix, AZ. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). SANCTUARY SOBER LIVING LLC NPI is 1457067670. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11645 N CAVE CREEK RD
PHOENIX, AZ
ZIP 85020-300
Phone: (602) 612-3816

The provider's authorized official is Joseph Landin .
The authorized official title is Ceo/owner and has the following contact phone number (480) 309-9945.

The enumeration date for this NPI number is 1/31/2023 and was last updated on 1/31/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselorNo
21041C0700XSocial WorkerClinicalNo
3163W00000XRegistered NurseNo
4175T00000XPeer SpecialistNo
5251B00000XCase ManagementNo
6324500000XSubstance Abuse Rehabilitation FacilityNo
7363LF0000XNurse PractitionerFamilyNo
8363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
9261Q00000XClinic/CenterYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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