Sober Living Lifestyle
NPI 1629788559 · Community/Behavioral Health Agency · Glendale, AZ
Sober Living Lifestyle is a Community/Behavioral Health Agency organization in Glendale, AZ (NPI 1629788559).
Provider details
- NPI number
- 1629788559
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Wellengten Jenkins, Director(602) 421-6661
Specialties & taxonomies
Agencies
- Lodging Provider177F00000X
Other Service Providers
Residential Treatment Facilities
- Case Management Agency251B00000X
Agencies
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
3 documented practice locations
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
Additional practice locations (2)
- 319 N 2nd AveAvondale, AZ 85323-1807Phone: (602) 421-6661
- 4948 W Pierson StPhoenix, AZ 85031-1338Phone: (602) 421-6661
Registry dates
- Enumerated
- 2022-12-01
- Last updated
- 2022-12-01
- Certified
- 2022-12-01
Frequently asked questions
- What is Sober Living Lifestyle's NPI number?
- Sober Living Lifestyle's National Provider Identifier (NPI) is 1629788559, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sober Living Lifestyle?
- Sober Living Lifestyle is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Sober Living Lifestyle located?
- Sober Living Lifestyle's practice location on file with NPPES is 6013 W Claremont St, Glendale, AZ 85301-4407.
- What is Sober Living Lifestyle's phone number?
- The practice phone number listed in the NPPES registry for Sober Living Lifestyle is (602) 421-6661.
- Who is the authorized official for Sober Living Lifestyle?
- The authorized official listed on Sober Living Lifestyle's NPPES record is Wellengten Jenkins, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sober Living Lifestyle's NPI active?
- Yes — Sober Living Lifestyle's NPI (1629788559) is active in the NPPES registry as of the last update on 2022-12-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.