SANCTUARY SOBER LIVING LLC
NPI 1629649132
Community/Behavioral Health in Phoenix, AZ

Active since July 06, 2021
11645 N CAVE CREEK RD, PHOENIX, AZ 85020(602) 612-3816 Get Directions Write a Review

NPPES record last updated: August 15, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 15, 2025, Feb 13, 2023, Jan 24, 2023 and 3 more (6 updates tracked since 2021).

About Sanctuary Sober Living Llc NPPES

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

SANCTUARY SOBER LIVING LLC (NPI 1629649132), doing business as Src Cave Creek, is a healthcare organization registered as a community/behavioral health in Phoenix, Arizona and active in the NPI registry since July 2021. The organization lists Joseph Landin, Administrator, as its authorized official.

NPPES Registry Identity

NPI1629649132
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameSANCTUARY SOBER LIVING LLC
Location Address11645 N CAVE CREEK RDPhoenix, AZ 85020-1300
Mailing AddressPo Box 9952Phoenix, AZ 85068-0952
Organization SubpartYes
Authorized OfficialJoseph LandinAdministrator · (480) 309-9945
Enumeration DateJuly 6, 2021
Last NPPES UpdateAugust 15, 20256 updates tracked since enumeration
NPPES CertifiedAugust 15, 2025
NPI 1629649132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 11

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Also ListedCounselorTaxonomy 101Y00000X
Also ListedSocial WorkerTaxonomy 104100000X
Also ListedBehavior TechnicianTaxonomy 106S00000X
Also ListedAcupuncturistTaxonomy 171100000X
Also ListedMealsTaxonomy 174200000X
Also ListedCase ManagementTaxonomy 251B00000X
Also ListedIn Home Supportive CareTaxonomy 253Z00000X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedNon-emergency Medical Transport (VAN)Taxonomy 343900000X
11645 N CAVE CREEK RD, Phoenix, AZ 85020

Other Names 1

Doing Business AsSrc Cave Creek

Other Identifiers 1

Medicaid085186AZ

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES

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

Clinic/Center
11645 N CAVE CREEK RD
PHOENIX, AZ 85020

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629649132, enumerated as an "organization" on July 06, 2021.

The provider is located at 11645 N CAVE CREEK RD PHOENIX, AZ 85020 and the phone number is (602) 612-3816.

Community/Behavioral Health with taxonomy code 251S00000X.

The provider might be accepting Accepts: Blue Cross Blue Shield of Arizona, Medicare and. Please consult your insurance carrier or call the provider to verify.