Desert Rose Sober Living

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

DESERT ROSE SOBER LIVING

Practice address

365 W Berridge Dr
Sierra Vista, AZ 85635-3007

Phone

(520) 895-9111

NPI assigned

Mar 8, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brenna Kathleen Skinner

Title

Ceo/Administrator

Phone

(520) 895-9111

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1646697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646697600000",
    "number": "1003563115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3645",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856363645",
            "telephone_number": "520-895-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 W BERRIDGE DR",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856353007",
            "telephone_number": "520-895-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT ROSE SOBER LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-08",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A",
        "authorized_official_last_name": "SKINNER",
        "authorized_official_first_name": "BRENNA",
        "authorized_official_middle_name": "KATHLEEN",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "520-895-9111"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Substance Abuse Rehabilitation Facility in Sierra Vista, AZ
• Providers in Sierra Vista, AZ by specialty
• Substance Abuse Rehabilitation Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.