NPIMap

Organization Active NPI

Up & Out Sober Living

  • Substance Abuse Rehabilitation Facility
  • Frederick, MD
National Provider Identifier
1053206706
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
UP & OUT SOBER LIVING
Practice address
1307 Willow Oak Dr
Frederick, MD 21701-9153
Phone
(443) 920-4744
NPI assigned
Jun 12, 2025
Last updated
Jun 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Authorized official

Name
Korey Shorb
Title
Director/Owner
Phone
(240) 529-2995

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

1307 Willow Oak Dr
Frederick, MD 21701-9153

Mailing address

55 2ND Ave
Emmitsburg, MD 21727-9170
Phone (240) 529-2995

National Provider Directory

National Provider Directory
Tax ID family
Up Out Sober Living3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1749686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749686400000",
    "number": "1053206706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 2ND AVE",
            "city": "EMMITSBURG",
            "state": "MD",
            "postal_code": "217279170",
            "telephone_number": "240-529-2995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 WILLOW OAK DR",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217019153",
            "telephone_number": "443-920-4744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UP & OUT SOBER LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-12",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A",
        "authorized_official_last_name": "SHORB",
        "authorized_official_first_name": "KOREY",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "240-529-2995"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.