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

Q: What is Sanctuary Sober Living LLC's NPI number?

The NPI number for Sanctuary Sober Living LLC is 1629649132. It was assigned to this organization in the NPPES registry on July 6, 2021. The provider is doing business as SRC Cave Creek.

Q: What is Sanctuary Sober Living LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

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: August 16, 2026.

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

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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

Phone(602) 612-3816

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 · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X

Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X

Also ListedNon-emergency Medical Transport (VAN)Taxonomy 343900000X

11645 N CAVE CREEK RD, Phoenix, AZ 85020

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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

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

SANCTUARY SOBER LIVING LLC

Clinic/Center

11645 N CAVE CREEK RD
PHOENIX, AZ 85020

Maricopa County (602) 612-3816

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 1629649132. It was assigned to this organization in the NPPES registry on July 6, 2021. The provider is doing business as SRC Cave Creek.

Where is Sanctuary Sober Living LLC located?

Sanctuary Sober Living LLC is located at 11645 N Cave Creek Rd, Phoenix, AZ 85020. The listed phone number is (602) 612-3816.

What is Sanctuary Sober Living LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

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 August 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.