Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

10828 N CAVE CREEK RD, PHOENIX, AZ 85020(602) 612-3816(480) 281-5225 Get Directions Write a Review

NPPES record last updated: September 4, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 4, 2026, Aug 15, 2025, Feb 13, 2023 and 4 more (7 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 Glenn Landin, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1629649132

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameSANCTUARY SOBER LIVING LLC

Location Address10828 N CAVE CREEK RDPhoenix, AZ 85020-1406

Mailing AddressPo Box 9952Phoenix, AZ 85068-0952 · (844) 978-8783 · Fax (480) 281-5225

Phone(602) 612-3816

Fax(480) 281-5225

Organization SubpartYes

Authorized OfficialJoseph Glenn LandinChief Executive Officer · (480) 309-9945

Enumeration DateJuly 6, 2021

Last NPPES UpdateSeptember 4, 20267 updates tracked since enumeration

NPPES CertifiedSeptember 4, 2026

✔ 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

10828 N CAVE CREEK RD, Phoenix, AZ 85020

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Other Names 1

Doing Business AsSrc Cave Creek

Other Identifiers 1

Medicaid106281AZ

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 ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sanctuary Sober Living Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Sanctuary Sober Living LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Jacqueline Armstrong, LPC

Mental Health Counselor

NPI 1215692306

3033 N CENTRAL AVE STE 700
Phoenix, AZ 85012

(602) 230-7373

✔ PECOS7.1 mi

Craig Heise, M.D.

Family Practice

NPI 1629398912

1300 N 12TH ST SUITE 605
Phoenix, AZ 85006

(602) 839-2668

✔ PECOS✔ Accepts Medicare8.4 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 10828 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.

Is Sanctuary Sober Living LLC enrolled in Medicare?

Yes. Sanctuary Sober Living LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sanctuary Sober Living LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Sanctuary Sober Living LLC, in Family Practice and Mental Health Counselor. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 September 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 46 days 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.