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SRC ROSE GARDEN
NPI 1285346049
Substance Abuse Rehabilitation Facility in Phoenix, AZ

Active since December 22, 2022CLIA 03D2288021 · Waiver
2027 E ROSE GARDEN LN, PHOENIX, AZ 85024(602) 612-3816(602) 612-3769 Get Directions Write a Review

NPPES record last updated: December 22, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Src Rose Garden NPPES

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

SRC ROSE GARDEN (NPI 1285346049) 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 a CLIA Waiver certificate valid through August 20, 2027 and lists Joseph Landin, Ceo, as its authorized official.

NPPES Registry Identity

NPI1285346049
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameSANCTUARY SOBER LIVING LLC
Location Address2027 E ROSE GARDEN LNPhoenix, AZ 85024-4418
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 22, 2022
NPPES CertifiedDecember 22, 2022
✔ NPI 1285346049 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
2027 E ROSE GARDEN LN, Phoenix, AZ 85024
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Other Names 1

Doing Business AsSrc Rose Garden

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

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 03D2288021

Sanctuary Sober Living, LLC · Phoenix, AZ
Active · expires Aug 20, 2027
CLIA Number03D2288021
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, LLC2027 E Rose Garden Lane, Phoenix, AZ 85024
CLIA data matches this NPI record on: Address 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 1285346049. It was assigned to this organization in the NPPES registry on December 22, 2022. The provider is doing business as Src Rose Garden.

Where is Sanctuary Sober Living LLC located?

Sanctuary Sober Living LLC is located at 2027 E Rose Garden Ln, Phoenix, AZ 85024. 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 a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2288021) is associated with this NPI, valid through August 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 22, 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.