MEDICARE: SOBER CITY RECOVERY CENTER, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	324500000X	Substance Abuse Rehabilitation Facility		FL

General Provider Information

NPI Number	:	1235524760
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOBER CITY RECOVERY CENTER, LLC

Provider Business Mailing Address
First Line	:	2152 W ATLANTIC AVE
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33445-4635
Country	:	US
Telephone Number	:	561-674-6292
Fax Number	:

Provider Business Practice Location Address
First Line	:	2152 W ATLANTIC AVE
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33445-4635
Country	:	US
Telephone Number	:	561-674-6292
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. JARED JOSEPH ANDIA
Credential	:
Telephone Number	:	561-779-6619

Provider Enumeration Date	:	04/01/2015
Last Update Date	:	04/17/2018

Similar Medicare Providers

1457862823 — EDEN RECOVERY CENTER
Practice Location Address:

2158 W ATLANTIC AVE
DELRAY BEACH, FL
33445-4635

Practice Phone: 561-674-6292
Practice Fax:

1467335752 — SHELLY-ANN FRANCIS LCSW
Practice Location Address:

4635 DANSON WAY
DELRAY BEACH, FL
33445-3553

Practice Phone: 954-247-1355
Practice Fax:

1457234759 — REFLECTIVE PATH LLC
Practice Location Address:

4635 DANSON WAY
DELRAY BEACH, FL
33445-3553

Practice Phone: 954-247-1355
Practice Fax:

1043421399 — KIA B HOWARD OTRL
Practice Location Address:

8355 AUTUMN OAKS CT
CHESAPEAKE BEACH, MD
20732-4635

Practice Phone: 410-257-6209
Practice Fax:

1508100033 — LAUREL ANN CASEY COTA
Practice Location Address:

7612 VANTAGE DR
HUNTINGTON BEACH, CA
92647-4635

Practice Phone: 714-717-4309
Practice Fax:

1528628856 — MODERN REALITY
Practice Location Address:

200 KNUTH RD STE 101
BOYNTON BEACH, FL
33436-4635

Practice Phone: 561-402-9655
Practice Fax:

Directions to “SOBER CITY RECOVERY CENTER, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.