Sober Living in Madison, LLC
NPI 1013633882 · Substance Use Disorder Rehabilitation Clinic/Center · Madison, WI
Sober Living in Madison, LLC is a Substance Use Disorder Rehabilitation Clinic/Center organization in Madison, WI (NPI 1013633882).
Provider details
- NPI number
- 1013633882
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mirzo Khasimov, President(608) 520-7142
Specialties & taxonomies
Ambulatory Health Care Facilities
- Clinical Medical Laboratory291U00000X
Laboratories
- Substance Abuse Rehabilitation Facility324500000X
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-10-13
- Last updated
- 2022-10-14
- Certified
- 2022-10-14
Frequently asked questions
- What is Sober Living in Madison, LLC's NPI number?
- Sober Living in Madison, LLC's National Provider Identifier (NPI) is 1013633882, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sober Living in Madison, LLC?
- Sober Living in Madison, LLC is classified in the NPPES registry as Substance Use Disorder Rehabilitation Clinic/Center (Ambulatory Health Care Facilities).
- Where is Sober Living in Madison, LLC located?
- Sober Living in Madison, LLC's practice location on file with NPPES is 2101 N Sherman Ave, Madison, WI 53704-3932.
- What is Sober Living in Madison, LLC's phone number?
- The practice phone number listed in the NPPES registry for Sober Living in Madison, LLC is (608) 520-7142.
- Who is the authorized official for Sober Living in Madison, LLC?
- The authorized official listed on Sober Living in Madison, LLC's NPPES record is Mirzo Khasimov, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sober Living in Madison, LLC's NPI active?
- Yes — Sober Living in Madison, LLC's NPI (1013633882) is active in the NPPES registry as of the last update on 2022-10-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.