Organization Active NPI

Sobrius Operations, LLC

  • Substance Abuse Rehabilitation Facility
  • Galax, VA
National Provider Identifier
1124706916
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
SOBRIUS OPERATIONS, LLC
Practice address
506 Cliffview Rd
Galax, VA 24333-5084
Phone
(276) 601-2736
Fax
(276) 618-7246
NPI assigned
Jul 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

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

Authorized official

Name
Douglas A Fullaway
Title
Cfo
Phone
(503) 329-6687

Specialties & licenses 1

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

Addresses

Primary practice location

506 Cliffview Rd
Galax, VA 24333-5084

Mailing address

506 Cliffview Rd
Galax, VA 24333-5084
Phone (276) 601-2736

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1689033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689033600000",
    "number": "1124706916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 CLIFFVIEW RD",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243335084",
            "telephone_number": "276-601-2736",
            "fax_number": "276-618-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 CLIFFVIEW RD",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243335084",
            "telephone_number": "276-601-2736",
            "fax_number": "276-618-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOBRIUS OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-11",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A",
        "authorized_official_last_name": "FULLAWAY",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "503-329-6687"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; 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.