NPIMap

Organization Active NPI

Sobriety House, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Denver, CO
National Provider Identifier
1083617344
Registry record updated Nov 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
1072-02 Issued in CO
Legal business name
SOBRIETY HOUSE, INC.
Practice address
107 Acoma St
Denver, CO 80223-1429
Phone
(303) 722-5746
Fax
(303) 777-7601
NPI assigned
May 31, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2020

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

Authorized official

Name
Mr. William Andrew Dolan, LCSW CACIIINPI 1841420072
Title
Executive Director
Phone
(303) 722-5746

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 1072-02 CO Primary
Substance Abuse Rehabilitation Facility 324500000X 1072-02 CO

Addresses

Primary practice location

107 Acoma St
Denver, CO 80223-1429

Mailing address

107 Acoma St
Denver, CO 80223-1429
Phone (303) 722-5746

National Provider Directory

National Provider Directory
Tax ID family
Sobriety House Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604534400000",
    "number": "1083617344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 ACOMA ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802231429",
            "telephone_number": "303-722-5746",
            "fax_number": "303-777-7601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 ACOMA ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802231429",
            "telephone_number": "303-722-5746",
            "fax_number": "303-777-7601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOBRIETY HOUSE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-31",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A",
        "authorized_official_last_name": "DOLAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "303-722-5746",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW  CACIII"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "CO",
            "license": "1072-02",
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CO",
            "license": "1072-02",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; 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.