Soberman's Estate LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

SOBERMAN'S ESTATE LLC

Practice address

3010 E Cloud Rd
Cave Creek, AZ 85331-5621

Phone

(602) 295-8013

NPI assigned

Dec 6, 2019

Last updated

Mar 16, 2022By 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

Mitch Prager

Title

Ceo

Phone

(602) 295-8013

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1575590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647388800000",
    "number": "1538706775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 EASY ST UNIT 5167",
            "city": "CAREFREE",
            "state": "AZ",
            "postal_code": "853777116",
            "telephone_number": "602-295-8013",
            "fax_number": "833-969-0106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 E CLOUD RD",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853315621",
            "telephone_number": "602-295-8013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOBERMAN'S ESTATE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-06",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A",
        "authorized_official_last_name": "PRAGER",
        "authorized_official_first_name": "MITCH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-295-8013"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Substance Use Disorder Rehabilitation Clinic/Center in Cave Creek, AZ
• Providers in Cave Creek, AZ by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; 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.