Sober City LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

SOBER CITY LLC

Practice address

2944 S Fern St
Wichita, KS 67217-2426

Phone

(316) 218-7734

NPI assigned

Jun 3, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Nathan Zane Magruder, LACNPI 1740528488

Title

Ceo

Phone

(316) 218-7734

Specialties & licenses 1

Addresses

Practitioners 1

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

• Nathan Z Magruder, LAC

  • Addiction (Substance Use Disorder) Counselor
  • Wichita, KS
  • NPI 1740528488
  NPD Authorized official

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

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727654400000",
    "number": "1356182455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2944 S FERN ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672172426",
            "telephone_number": "316-218-7734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2944 S FERN ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672172426",
            "telephone_number": "316-218-7734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOBER CITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A",
        "authorized_official_last_name": "MAGRUDER",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "ZANE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "316-218-7734",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Soaring Eagles Therapy
• Michelle Lynn Sobba-Worrell, DDS
• Angela Kay Sobba, APRN
• Steven Sobba, CRNA
• Jackson Sobbing, DO
• Sober Ict, Inc
• Krista Lynn Sobrino, PMHNP
• Hassan Sohail
• Olga Gennadyevna Sokolova, MD
• Sol Systems Inc

• Substance Use Disorder Rehabilitation Clinic/Center in Wichita, KS
• Providers in Wichita, KS by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.