Casa Sobria, LLC

Primary specialty

Substance Use Disorder Rehabilitation Hospital UnitTaxonomy code 276400000X

Legal business name

CASA SOBRIA, LLC

Doing business as

Casa Sobria

Practice address

1832 NE 25TH St
Oklahoma City, OK 73111-3342

Phone

(405) 900-3775

Fax

(405) 456-6900

NPI assigned

Dec 4, 2024

Last updated

Jan 29, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Larry J Coffman Jr.

Title

Managing Member

Phone

(405) 900-3775

Specialties & licenses 1

Addresses

Other names 1

• Casa Sobria Doing business as

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

{
    "created_epoch": "1733270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738108800000",
    "number": "1053127134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1832 NE 25TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731113342",
            "telephone_number": "405-900-3775",
            "fax_number": "405-456-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1832 NE 25TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731113342",
            "telephone_number": "405-900-3775",
            "fax_number": "405-456-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASA SOBRIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-04",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A",
        "authorized_official_last_name": "COFFMAN",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "405-900-3775",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Casa Sobria",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rickl Cartwright, BS
• Sheri Cartwright, CPRSS, BHWC, CM I
• Carvason E. Griffith, MD, Inc.
• Chere Dawn Carver, M.S.
• Dylan Scott Carver, DO
• Kellie Casburn
• Robert Hemant Cascella, MD
• Joseph Michael Case, DO
• Julia Case, BS, BHRS
• Julia Gayle Case, APRN-CNP

• Substance Use Disorder Rehabilitation Hospital Unit in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Substance Use Disorder Rehabilitation Hospital Unit in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.