Sojourn House Inc

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

SOJOURN HOUSE INC

Practice address

565 N Turner Ave
Freeport, IL 61032-3252

Phone

(815) 232-5121

Fax

(815) 233-4591

NPI assigned

Jan 17, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Brenda Bombard

Title

Executive Director

Phone

(815) 232-6121

Specialties & licenses 1

Addresses

Tax ID family

Sojourn House2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Sojourn House

  • Substance Abuse Rehabilitation Facility
  • Freeport, IL
  • NPI 1790143444
  NPD tax ID

Locations

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104978436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 N TURNER AVE",
            "city": "FREEPORT",
            "state": "IL",
            "postal_code": "610323252",
            "telephone_number": "815-232-5121",
            "fax_number": "815-233-4591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 N TURNER AVE",
            "city": "FREEPORT",
            "state": "IL",
            "postal_code": "610323252",
            "telephone_number": "815-232-5121",
            "fax_number": "815-233-4591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOJOURN HOUSE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOMBARD",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "815-232-6121",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary SMRT, SPL
• Jessica Sneek
• Carrie Snow, M.S. ED, QIDP
• Lindsey Soble
• Sojourn House
• Speak Up Therapy Solutions, PLLC
• Speech Works Inc
• Stephen H Spyrison, DDS
• Christina Lee Steele-Lietz, LCSW
• Stephen Perry DC PC

• Addiction (Substance Use Disorder) Counselor in Freeport, IL
• Providers in Freeport, IL by specialty
• Addiction (Substance Use Disorder) Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.