Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sozo Recovery Residence

Organization Community Health Worker · NPI 1265314157

Sozo Recovery Residence is a Community Health Worker in San Bernardino, California. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
6

Practice location Address checks out

2768 N Genevieve St
San Bernardino, CA 92405-3516
Phone: (951) 835-1253
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X
Community Health Worker Taxonomy 172V00000X
Lodging Provider Taxonomy 177F00000X
Home Health Agency Taxonomy 251E00000X
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X
Recovery Care Clinic/Center Taxonomy 261QR0800X

Record details

NPI number1265314157
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeanna Marquecho Shaw — Director · (951) 836-1253
Other names Sozo House
NPI enumeratedJuly 22, 2025
Last updated in NPPESJuly 22, 2025
Certification dateJuly 22, 2025
Mailing address2768 N. Genevieve St, San Bernardino, CA 92405

Other providers in San Bernardino