Sober Mountain LLC
NPI 1356051122 · Rehabilitation Clinic/Center · Show Low, AZ
Sober Mountain LLC is a Rehabilitation Clinic/Center organization in Show Low, AZ (NPI 1356051122).
Provider details
- NPI number
- 1356051122
- Entity type
- Organization
- Primary specialty
- Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ammon Mangum, Owner/ Partner(928) 551-6099
Specialties & taxonomies
Ambulatory Health Care Facilities
- 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
- 2022-12-01
- Last updated
- 2026-01-19
- Certified
- 2026-01-19
Frequently asked questions
- What is Sober Mountain LLC's NPI number?
- Sober Mountain LLC's National Provider Identifier (NPI) is 1356051122, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sober Mountain LLC?
- Sober Mountain LLC is classified in the NPPES registry as Rehabilitation Clinic/Center (Ambulatory Health Care Facilities).
- Where is Sober Mountain LLC located?
- Sober Mountain LLC's practice location on file with NPPES is 580 E Old Linden Rd Ste 3, Show Low, AZ 85901-4817.
- What is Sober Mountain LLC's phone number?
- The practice phone number listed in the NPPES registry for Sober Mountain LLC is (928) 551-6099.
- Who is the authorized official for Sober Mountain LLC?
- The authorized official listed on Sober Mountain LLC's NPPES record is Ammon Mangum, Owner/ Partner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sober Mountain LLC's NPI active?
- Yes — Sober Mountain LLC's NPI (1356051122) is active in the NPPES registry as of the last update on 2026-01-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.