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SANCTUARY SOBER LIVING LLC
NPI 1174236897
Substance Abuse Rehabilitation Facility in Phoenix, AZ

Active since December 27, 2022CLIA Certified · 4 labs
17632 N 28TH ST, PHOENIX, AZ 85032(602) 612-3816(602) 612-3769 Get Directions Write a Review

NPPES record last updated: December 27, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sanctuary Sober Living Llc NPPES

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

SANCTUARY SOBER LIVING LLC (NPI 1174236897), doing business as Src 28th, is a healthcare organization registered as a substance abuse rehabilitation facility in Phoenix, Arizona and active in the NPI registry since December 2022. The organization holds 4 active CLIA laboratory certificates and lists Joseph Landin, Ceo, as its authorized official.

NPPES Registry Identity

NPI1174236897
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameSANCTUARY SOBER LIVING LLC
Location Address17632 N 28TH STPhoenix, AZ 85032-1904
Mailing Address11645 N Cave Creek RdPhoenix, AZ 85020-1300 · (602) 612-3816
Phone(602) 612-3816
Fax(602) 612-3769
Organization SubpartYes
Authorized OfficialJoseph LandinCeo · (480) 309-9945
Enumeration DateDecember 27, 2022
NPPES CertifiedDecember 22, 2022
✔ NPI 1174236897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
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.
Also ListedCase ManagementTaxonomy 251B00000X
Also ListedPsychiatric Residential Treatment FacilityTaxonomy 323P00000X
Also ListedNon-emergency Medical Transport (VAN)Taxonomy 343900000X
17632 N 28TH ST, Phoenix, AZ 85032
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Other Names 1

Doing Business AsSrc 28th

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

CLIA Laboratory Certificates CMS CLIA 4

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2245839

Sanctuary Sober Living, LLC Dba Sanctuary Recovery Centers · Phoenix, AZ
Active · expires Dec 15, 2027
CLIA Number03D2245839
Laboratory TypeBeh Health Facility
Certificate Effective DateDecember 16, 2025
Certificate Expiration DateDecember 15, 2027
Laboratory DirectorCraig Heise
Laboratory Phone(480) 408-2694
Laboratory LocationSanctuary Sober Living, LLC Dba Sanctuary Recovery Centers11645 N Cave Creek Rd, Phoenix, AZ 85020
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 03D2288022

Sanctuary Sober Living · Phoenix, AZ
Active · expires Aug 20, 2027
CLIA Number03D2288022
Laboratory TypeBehavior Health Facility
Certificate Effective DateAugust 21, 2025
Certificate Expiration DateAugust 20, 2027
Laboratory DirectorCraig Heise
Laboratory Phone(480) 408-2694
Laboratory LocationSanctuary Sober Living17632 N 28th St, Phoenix, AZ 85032
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 03D2288019

Sanctuary Sober Living, LLC · Phoenix, AZ
Active · expires Aug 20, 2027
CLIA Number03D2288019
Laboratory TypeBehavior Health Facility
Certificate Effective DateAugust 21, 2025
Certificate Expiration DateAugust 20, 2027
Laboratory DirectorCraig Heise
Laboratory Phone(480) 408-2694
Laboratory LocationSanctuary Sober Living, LLC1340 E Desert Cove Ave, Phoenix, AZ 85020
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 03D2230202

Sanctuary Sober Living LLC Dba Sanctuary Recovery Centers · Phoenix, AZ
Active · expires Jul 19, 2027
CLIA Number03D2230202
Laboratory TypeBh Res Facility
Certificate Effective DateJuly 20, 2025
Certificate Expiration DateJuly 19, 2027
Laboratory DirectorCraig Heise
Laboratory Phone(480) 408-2694
Laboratory LocationSanctuary Sober Living LLC Dba Sanctuary Recovery Centers4324 E Friess Dr, Phoenix, AZ 85032
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Sanctuary Sober Living LLC's NPI number?

The NPI number for Sanctuary Sober Living LLC is 1174236897. It was assigned to this organization in the NPPES registry on December 27, 2022. The provider is doing business as SRC 28th.

Where is Sanctuary Sober Living LLC located?

Sanctuary Sober Living LLC is located at 17632 N 28th St, Phoenix, AZ 85032. The listed phone number is (602) 612-3816.

What is Sanctuary Sober Living LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Sanctuary Sober Living LLC hold CLIA laboratory certificates?

Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Sanctuary Sober Living LLC accept?

Health plans from Blue Cross Blue Shield of Arizona list Sanctuary Sober Living LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sanctuary Sober Living LLC was last updated on December 27, 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.