SOBER LIVING IN MADISON, LLC
NPI 1013633882
Clinic/Center - Rehabilitation, Substance Use Disorder in Madison, WI

Q: What is Sober Living In Madison, LLC's NPI number?

The NPI number for Sober Living In Madison, LLC is 1013633882. It was assigned to this organization in the NPPES registry on October 13, 2022.

Q: What is Sober Living In Madison, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Active since October 13, 2022

2101 N SHERMAN AVE, MADISON, WI 53704(608) 520-7142 Get Directions Write a Review

NPPES record last updated: October 14, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Sober Living In Madison, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOBER LIVING IN MADISON, LLC (NPI 1013633882) is a healthcare organization registered as a rehabilitation, substance use disorder in Madison, Wisconsin and active in the NPI registry since October 2022. The organization lists Mirzo Khasimov, President, as its authorized official.

NPPES Registry Identity

NPI1013633882

Entity TypeOrganization

Primary Taxonomy261QR0405X

Legal Business NameSOBER LIVING IN MADISON, LLC

Location Address2101 N SHERMAN AVEMadison, WI 53704-3932

Mailing Address2101 N Sherman AveMadison, WI 53704-3932 · (608) 520-7142

Phone(608) 520-7142

Organization SubpartNo

Authorized OfficialMirzo KhasimovPresident · (608) 520-7142

Enumeration DateOctober 13, 2022

Last NPPES UpdateOctober 14, 2022

NPPES CertifiedOctober 14, 2022

✔ NPI 1013633882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities

Taxonomy Code261QR0405X

Also ListedClinical Medical LaboratoryTaxonomy 291U00000X

Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X

2101 N SHERMAN AVE, Madison, WI 53704

Open in Google Maps ↗

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RICHARD L BRYANT SAC

Counselor (Addiction (Substance Use Disorder))

2101 N SHERMAN AVE
MADISON, WI 53704

Dane County (608) 241-4285

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sober Living In Madison, LLC's NPI number?

The NPI number for Sober Living In Madison, LLC is 1013633882. It was assigned to this organization in the NPPES registry on October 13, 2022.

Where is Sober Living In Madison, LLC located?

Sober Living In Madison, LLC is located at 2101 N Sherman Ave, Madison, WI 53704. The listed phone number is (608) 520-7142.

What is Sober Living In Madison, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for Sober Living In Madison, LLC was last updated on October 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.