NPIMap

Organization Active NPI

Immanuel Sobriety Inc.

  • Community Health Worker
  • Riverside, CA
National Provider Identifier
1033908371
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Legal business name
IMMANUEL SOBRIETY INC.
Practice address
4954 Arlington Ave # a&B
Riverside, CA 92504-2746
Phone
(951) 653-3000
NPI assigned
May 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Authorized official

Name
Elizabeth Reid
Title
Executive Director
Phone
(951) 530-7680

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 172V00000X Primary
Case Management Agency 251B00000X

Addresses

Primary practice location

4954 Arlington Ave # a&B
Riverside, CA 92504-2746

Mailing address

PO Box 10271
Moreno Valley, CA 92552-0271
Phone (951) 653-3000

National Provider Directory

National Provider Directory
Tax ID family
Immanuel House6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4954 Arlington Ave
Riverside, CA 92504
Phone (951) 653-3000

NPI Registry JSON

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

{
    "created_epoch": "1746230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758153600000",
    "number": "1033908371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10271",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925520271",
            "telephone_number": "951-653-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4954 ARLINGTON AVE # A&B",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925042746",
            "telephone_number": "951-653-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMMANUEL SOBRIETY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-03",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A",
        "authorized_official_last_name": "REID",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "951-530-7680"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; 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.