SOBERMAN'S ESTATE LLC NPI 1538706775

NPI Information

NPI: 1538706775
Provider Name: SOBERMAN'S ESTATE LLC
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 03D2162317

Address:
3010 E CLOUD RD
CAVE CREEK, AZ
ZIP 85331
Phone: (602) 295-8013
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SOBERMAN'S ESTATE LLC is a rehabilitation and substance use disorder clinic center in Cave Creek, AZ. SOBERMAN'S ESTATE LLC NPI is 1538706775. The provider is registered as an organization entity type.

The provider's business location address is:

3010 E CLOUD RD
CAVE CREEK, AZ
ZIP 85331-621
Phone: (602) 295-8013

The provider's authorized official is Mitch Prager .
The authorized official title is Ceo and has the following contact phone number (602) 295-8013.

The CLIA number assigned to this NPI record is 03D2162317 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/6/2019 and was last updated on 3/16/2022.

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
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			Yes

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: 4/28/2024

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