S & T Luxury Sober Living

Primary specialty

Lodging ProviderTaxonomy code 177F00000X

Legal business name

S & T LUXURY SOBER LIVING

Practice address

3096 Journey Dr
Stockton, CA 95212-9350

Phone

(209) 454-1033

NPI assigned

Oct 3, 2024

Organization subpart

No

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

Authorized official

Name

Shalonda TillmanNPI 1134948524

Title

President

Phone

(209) 454-1033

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.

• Shalonda Tillman

  • Addiction (Substance Use Disorder) Counselor
  • Stockton, CA
  • NPI 1134948524
  NPD Authorized official

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

{
    "created_epoch": "1727913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727913600000",
    "number": "1952120347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3096 JOURNEY DR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952129350",
            "telephone_number": "209-454-1033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3096 JOURNEY DR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952129350",
            "telephone_number": "209-454-1033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S & T LUXURY SOBER LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-03",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A",
        "authorized_official_last_name": "TILLMAN",
        "authorized_official_first_name": "SHALONDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-454-1033"
    },
    "taxonomies": [
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle M Rutherford, DPT
• David Allan Rutter, R.N.
• Steven Ryan
• Emma Rymel
• Irma Francisca Rymers, FNP
• S Jang DDS Incorporated (Smile Time Dental)
• S. Hakimi, DDS a Professional Corp (Stockton Dental Group)
• S. Natarajan Medical Corporation
• S&a Podiatry Clinic Inc
• Hossein G. Saadati, MD

• Lodging Provider in Stockton, CA
• Providers in Stockton, CA by specialty
• Lodging Provider in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.