502 SOBRIETY SOLDIERS LLC – NPI #1912764754
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

502 SOBRIETY SOLDIERS LLC is a substance abuse rehabilitation facility located in LOUISVILLE, KY. NPPES has assigned the NPI number 1912764754 to 502 SOBRIETY SOLDIERS LLC on February 28, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for 502 SOBRIETY SOLDIERS LLC below.

NPI Profile for
502 SOBRIETY SOLDIERS LLC

NPI Number
1912764754
Enumeration Date

(more than 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
502 SOBRIETY SOLDIERS LLC
Primary location
726 S PRESTON ST
LOUISVILLE, KY 40203-2320
Phone: (502) 718-1495 Fax:
Mailing address
2133 W MARKET ST
LOUISVILLE, KY 40212-1532
Phone: Fax:
Organization Subpart
No
Authorized Official
SARAH BROCK
DIRECTOR OF OPERATIONS
Phone: (859) 693-7644
Updated
Certification Date
Feb 28, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
324500000X
- Substance Abuse Rehabilitation Facility (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.