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SOLEDAD HOUSE
NPI 1447898473
Clinic/Center - Rehabilitation, Substance Use Disorder in San Diego, CA

Active since December 20, 2019CLIA 05D2056116 · Waiver
4747 MORENA BLVD STE 200, SAN DIEGO, CA 92117(866) 314-3222(619) 923-3770 Get Directions Write a Review

NPPES record last updated: May 23, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Soledad House NPPES

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

SOLEDAD HOUSE (NPI 1447898473) is a healthcare organization registered as a rehabilitation, substance use disorder in San Diego, California and active in the NPI registry since December 2019. The organization holds a CLIA Waiver certificate valid through August 14, 2027 and lists Allie Farmer, Ceo, as its authorized official.

NPPES Registry Identity

NPI1447898473
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameABC SOBER LIVING
Location Address4747 MORENA BLVD STE 200San Diego, CA 92117-3467
Mailing Address810 Emerald StSan Diego, CA 92109-2712 · (858) 345-7422
Phone(866) 314-3222
Fax(619) 923-3770
Organization SubpartNo
Authorized OfficialAllie FarmerCeo · (619) 346-3904
Enumeration DateDecember 20, 2019
Last NPPES UpdateMay 23, 2024
NPPES CertifiedMay 22, 2024
✔ NPI 1447898473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
4747 MORENA BLVD STE 200, San Diego, CA 92117
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Other Names 1

Doing Business AsSoledad House

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 05D2056116

Soledad House 1 · San Diego, CA
Active · expires Aug 14, 2027
CLIA Number05D2056116
Laboratory TypeTreatment Facilty Inpatie
Certificate Effective DateAugust 15, 2025
Certificate Expiration DateAugust 14, 2027
Laboratory DirectorJohn W. Allen
Laboratory Phone(619) 346-3904
Laboratory LocationSoledad House 14747 Morena Blvd Ste 200, San Diego, CA 92117
CLIA data matches this NPI record on: Address Name Phone
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 Abc Sober Living's NPI number?

The NPI number for Abc Sober Living is 1447898473. It was assigned to this organization in the NPPES registry on December 20, 2019. The provider is doing business as Soledad House.

Where is Abc Sober Living located?

Abc Sober Living is located at 4747 Morena Blvd Ste 200, San Diego, CA 92117. The listed phone number is (866) 314-3222.

What is Abc Sober Living's specialty?

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

Does Abc Sober Living hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2056116) is associated with this NPI, valid through August 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Abc Sober Living was last updated on May 23, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.