NPIMap

Organization Active NPI

Sober College Environments, LLC

  • Substance Abuse Rehabilitation Facility
  • Winnetka, CA
National Provider Identifier
1982074910
Registry record updated Apr 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
SOBER COLLEGE ENVIRONMENTS, LLC
Practice address
8546 Keokuk Ave
Winnetka, CA 91306-1125
Phone
(818) 274-0304
NPI assigned
Oct 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2018

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

Authorized official

Name
Mrs. Aimee Noel, LCSW
Title
Clinical Director
Phone
(818) 274-0304

Specialties & licenses 1

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

Addresses

Primary practice location

8546 Keokuk Ave
Winnetka, CA 91306-1125

Mailing address

6018 Variel Ave
Woodland Hills, CA 91367-3719

Other names 1

  • Sober College-Keokuk Other name

National Provider Directory

National Provider Directory
Tax ID family
Sober College Environments LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6018 Variel Ave
Woodland Hills, CA 91367

NPI Registry JSON

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

{
    "created_epoch": "1443744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522972800000",
    "number": "1982074910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6018 VARIEL AVE",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913673719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8546 KEOKUK AVE",
            "city": "WINNETKA",
            "state": "CA",
            "postal_code": "913061125",
            "telephone_number": "818-274-0304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOBER COLLEGE ENVIRONMENTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-02",
        "last_updated": "2018-04-06",
        "status": "A",
        "authorized_official_last_name": "NOEL",
        "authorized_official_first_name": "AIMEE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "818-274-0304",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sober College-Keokuk",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Sober College-Keokuk",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Winnetka, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2018; 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.