502 SOBRIETY SOLDIERS LLC
NPI 1912764754
Substance Abuse Rehabilitation Facility in Louisville, KY

Active since February 28, 2024CLIA 18D2336685 · Waiver
726 S PRESTON ST, LOUISVILLE, KY 40203(502) 718-1495 Get Directions Write a Review

NPPES record last updated: February 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About 502 Sobriety Soldiers Llc NPPES

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

502 SOBRIETY SOLDIERS LLC (NPI 1912764754) is a healthcare organization registered as a substance abuse rehabilitation facility in Louisville, Kentucky and active in the NPI registry since February 2024. The organization holds a CLIA Waiver certificate valid through January 7, 2028 and lists Sarah Brock, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1912764754
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business Name502 SOBRIETY SOLDIERS LLC
Location Address726 S PRESTON STLouisville, KY 40203-2320
Mailing Address2133 W Market StLouisville, KY 40212-1532
Organization SubpartNo
Authorized OfficialSarah BrockDirector Of Operations · (859) 693-7644
Enumeration DateFebruary 28, 2024
NPPES CertifiedFebruary 28, 2024
NPI 1912764754 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.
726 S PRESTON ST, Louisville, KY 40203

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 18D2336685

502 Sobriety Soldiers LLC · Louisville, KY
Active · expires Jan 7, 2028
CLIA Number18D2336685
Laboratory TypeResidential Sud Facility
Certificate Effective DateJanuary 8, 2026
Certificate Expiration DateJanuary 7, 2028
Laboratory DirectorDr. John Farmer
Laboratory Phone(502) 434-5442
Laboratory Location502 Sobriety Soldiers LLC1626 West Chestnut Street, Louisville, KY 40203
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

Community/Behavioral Health
726 S PRESTON ST
LOUISVILLE, KY 40203
Clinic/Center (Multi-Specialty)
726 S PRESTON ST
LOUISVILLE, KY 40203
Counselor (Professional)
726 S PRESTON ST
LOUISVILLE, KY 40203

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 502 Sobriety Soldiers LLC's NPI number?

The NPI number for 502 Sobriety Soldiers LLC is 1912764754. It was assigned to this organization in the NPPES registry on February 28, 2024.

Where is 502 Sobriety Soldiers LLC located?

502 Sobriety Soldiers LLC is located at 726 S Preston St, Louisville, KY 40203. The listed phone number is (502) 718-1495.

What is 502 Sobriety Soldiers LLC's specialty?

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

Does 502 Sobriety Soldiers LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2336685) is associated with this NPI, valid through January 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for 502 Sobriety Soldiers LLC was last updated on February 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.