IMMANUEL HOUSE
NPI 1467096818
Substance Abuse Rehabilitation Facility in Moreno Valley, CA

Active since October 29, 2019
13921 COURAGE ST, MORENO VALLEY, CA 92553(951) 267-7686 Get Directions Write a Review

NPPES record last updated: December 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 4, 2024, Oct 29, 2019 (2 updates tracked since 2019).

About Immanuel House NPPES

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

IMMANUEL HOUSE (NPI 1467096818) is a healthcare organization registered as a substance abuse rehabilitation facility in Moreno Valley, California and active in the NPI registry since October 2019. The organization lists Elizabeth Reid, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1467096818
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameIMMANUEL SOBRIETY INC.
Location Address13921 COURAGE STMoreno Valley, CA 92553-8757
Mailing AddressPo Box 10271Moreno Valley, CA 92552-0271 · (951) 653-3000
Organization SubpartNo
Authorized OfficialElizabeth ReidExecutive Director · (951) 530-7680
Enumeration DateOctober 29, 2019
Last NPPES UpdateDecember 4, 20242 updates tracked since enumeration
NPPES CertifiedDecember 4, 2024
NPI 1467096818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
13921 COURAGE ST, Moreno Valley, CA 92553

Other Names 1

Doing Business AsImmanuel House

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 Immanuel Sobriety Inc.'s NPI number?

The NPI number for Immanuel Sobriety Inc. is 1467096818. It was assigned to this organization in the NPPES registry on October 29, 2019. The provider is doing business as Immanuel House.

Where is Immanuel Sobriety Inc. located?

Immanuel Sobriety Inc. is located at 13921 Courage St, Moreno Valley, CA 92553. The listed phone number is (951) 267-7686.

What is Immanuel Sobriety Inc.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Immanuel Sobriety Inc. was last updated on December 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.