IMMANUEL SOBRIETY INC. NPI 1467096818

NPI Information

  • NPI: 1467096818
  • Provider Name: IMMANUEL SOBRIETY INC.
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • Doing Business As: IMMANUEL HOUSE
  • Address: 13921 COURAGE ST
    MORENO VALLEY, CA
    ZIP 92553
  • Phone: (951) 267-7686

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NPI Details

IMMANUEL SOBRIETY INC. is a substance abuse rehabilitation facility in Moreno Valley, CA. The provider is 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. IMMANUEL SOBRIETY INC. NPI is 1467096818. The provider is registered as an organization entity type.
The provider Is Doing Business As Immanuel House.

The provider's business location address is:

13921 COURAGE ST
MORENO VALLEY, CA
ZIP 92553-757
Phone: (951) 267-7686

The provider's authorized official is Elizabeth Reid .
The authorized official title is Executive Director and has the following contact phone number (951) 530-7680.

The enumeration date for this NPI number is 10/29/2019 and was last updated on 12/4/2024.

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
1324500000XSubstance Abuse Rehabilitation FacilityYes

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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