Organization Active NPI

Sovereign Home Healthcare, Inc

  • Home Health Agency
  • Freehold, NJ
National Provider Identifier
1013662899
Registry record updated Feb 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SOVEREIGN HOME HEALTHCARE, INC
Practice address
2 Raleigh Way
Freehold, NJ 07728-7906
Phone
(678) 464-8624
Fax
(888) 733-6540
NPI assigned
Feb 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Xavier Obode
Title
Director
Phone
(678) 464-8624

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2 Raleigh Way
Freehold, NJ 07728-7906

Mailing address

2 Raleigh Way
Freehold, NJ 07728-7906
Phone (678) 464-8624

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1645228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645228800000",
    "number": "1013662899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 RALEIGH WAY",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077287906",
            "telephone_number": "678-464-8624",
            "fax_number": "888-733-6540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 RALEIGH WAY",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077287906",
            "telephone_number": "678-464-8624",
            "fax_number": "888-733-6540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOVEREIGN HOME HEALTHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-19",
        "last_updated": "2022-02-19",
        "certification_date": "2022-02-19",
        "status": "A",
        "authorized_official_last_name": "OBODE",
        "authorized_official_first_name": "XAVIER",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "678-464-8624"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.