Abc Sober Living

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

ABC SOBER LIVING

Doing business as

Soledad House

Practice address

4747 Morena Blvd Ste 200
San Diego, CA 92117-3467

Phone

(866) 314-3222

Fax

(619) 923-3770

NPI assigned

Dec 20, 2019

Last updated

May 23, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Allie Farmer

Title

Ceo

Phone

(619) 346-3904

Specialties & licenses 1

Addresses

Other names 1

• Soledad House Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Abc Sober Living2 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.

• Abc Sober Living

  • Substance Abuse Rehabilitation Facility
  • San Diego, CA
  • NPI 1881963932
  NPD tax ID

Locations

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

{
    "created_epoch": "1576800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716422400000",
    "number": "1447898473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 EMERALD ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921092712",
            "telephone_number": "858-345-7422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4747 MORENA BLVD STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921173467",
            "telephone_number": "866-314-3222",
            "fax_number": "619-923-3770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABC SOBER LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-20",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-22",
        "status": "A",
        "authorized_official_last_name": "FARMER",
        "authorized_official_first_name": "ALLIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-346-3904"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Soledad House",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Soledad House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yuko Abbott, LCSW. DSW
• Jean-Paul Abboud, M.D., PH.D.
• Malakai Abboud
• Austin Louise Abbruscato, DC
• Abc Home Health Care LLC (Bridge Home Health)
• Abc Sober Living
• Abc Trauma Inc
• Emily A. Abcede, ARNP, CPNP
• Geraldine Quinto Abcede, RN
• Ali Abdalla

• Substance Use Disorder Rehabilitation Clinic/Center in San Diego, CA
• Providers in San Diego, CA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.