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S & T LUXURY SOBER LIVING
NPI 1952120347
Lodging in Stockton, CA

Active since October 03, 2024
3096 JOURNEY DR, STOCKTON, CA 95212(209) 454-1033 Get Directions Write a Review

NPPES record last updated: October 3, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About S & T Luxury Sober Living NPPES

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

S & T LUXURY SOBER LIVING (NPI 1952120347) is a healthcare organization registered as a lodging in Stockton, California and active in the NPI registry since October 2024. The organization lists Shalonda Tillman, President, as its authorized official.

NPPES Registry Identity

NPI1952120347
Entity TypeOrganization
Primary Taxonomy177F00000X
Legal Business NameS & T LUXURY SOBER LIVING
Location Address3096 JOURNEY DRStockton, CA 95212-9350
Mailing Address3096 Journey DrStockton, CA 95212-9350 · (209) 454-1033
Phone(209) 454-1033
Organization SubpartNo
Authorized OfficialShalonda TillmanPresident · (209) 454-1033
Enumeration DateOctober 3, 2024
NPPES CertifiedOctober 3, 2024
✔ NPI 1952120347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLodgingOther Service Providers
Taxonomy Code177F00000X
Definition
A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
3096 JOURNEY DR, Stockton, CA 95212
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Other Providers at the Same Location NPPES

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

SHALONDA TILLMAN
Counselor (Addiction (Substance Use Disorder))
3096 JOURNEY DR
STOCKTON, CA 95212
San Joaquin County (209) 454-1033

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 S & T Luxury Sober Living's NPI number?

The NPI number for S & T Luxury Sober Living is 1952120347. It was assigned to this organization in the NPPES registry on October 3, 2024.

Where is S & T Luxury Sober Living located?

S & T Luxury Sober Living is located at 3096 Journey Dr, Stockton, CA 95212. The listed phone number is (209) 454-1033.

What is S & T Luxury Sober Living's specialty?

The primary specialty registered for this NPI is Lodging with taxonomy code 177F00000X.

When was this NPI record last updated?

The NPPES record for S & T Luxury Sober Living was last updated on October 3, 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.