Southwest Sober Living, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

SOUTHWEST SOBER LIVING, LLC

Practice address

330 W Los Altos Rd
Tucson, AZ 85704-5671

Phone

(520) 799-9505

Fax

(520) 799-9506

NPI assigned

Jul 6, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Kenneth Stinnett

Title

Member

Phone

(520) 799-9505

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1404604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404604800000",
    "number": "1649686106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 N 15TH AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857056413",
            "telephone_number": "520-799-9505",
            "fax_number": "520-799-9506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 W LOS ALTOS RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857045671",
            "telephone_number": "520-799-9505",
            "fax_number": "520-799-9506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST SOBER LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-06",
        "last_updated": "2014-07-06",
        "status": "A",
        "authorized_official_last_name": "STINNETT",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "520-799-9505",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Substance Abuse Rehabilitation Facility in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Substance Abuse Rehabilitation Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2014; 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.