OrganizationActive
Immanuel Sobriety Inc.
NPI 1144036245 · Community/Behavioral Health Agency · Moreno Valley, CA
Provider details
- NPI number
- 1144036245
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Elizabeth Reid, Executive Director(951) 530-7680
Specialties & taxonomies
Agencies
- Case Management Agency251B00000X
Agencies
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
14340 Elsworth St # 108&109
Moreno Valley, CA 92553-9019
Phone: (951) 653-3000
Street-level locationGet directions
Mailing address
Po Box 10271
Moreno Valley, CA 92552-0271
Other names (DBA / former)
- Doing business as
- Immanuel House
Registry dates
- Enumerated
- 2024-12-04
- Last updated
- 2024-12-04
- Certified
- 2024-12-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.