Organization Active NPI

Sobrius, LLC

  • Substance Abuse Rehabilitation Facility
  • Peoria, AZ
National Provider Identifier
1477322766
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
SOBRIUS, LLC
Practice address
28222 N 123Rd LN
Peoria, AZ 85383-2537
Phone
(520) 501-1458
NPI assigned
Dec 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

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

Authorized official

Name
Jared Coad
Title
Managing Member
Phone
(520) 501-1458

Specialties & licenses 1

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

Addresses

Primary practice location

28222 N 123Rd LN
Peoria, AZ 85383-2537

Mailing address

28222 N 123Rd LN
Peoria, AZ 85383-2537
Phone (520) 501-1458

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1703635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737331200000",
    "number": "1477322766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28222 N 123RD LN",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853832537",
            "telephone_number": "520-501-1458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28222 N 123RD LN",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853832537",
            "telephone_number": "520-501-1458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOBRIUS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-27",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A",
        "authorized_official_last_name": "COAD",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "520-501-1458"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; 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.