Sovereign Wellness & Stabilization Residence, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

SOVEREIGN WELLNESS & STABILIZATION RESIDENCE, LLC

Practice address

4940 E Fort King St
Ocala, FL 34470-1504

Phone

(352) 207-3170

NPI assigned

Jun 1, 2026

Organization subpart

No

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

Authorized official

Name

Mr. Courtney Peterson

Title

Chief Financial Officer/Treasurer

Phone

(352) 207-3170

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1780272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780272000000",
    "number": "1033041579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 770131",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344770131",
            "telephone_number": "352-207-3170",
            "fax_number": "352-207-3170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4940 E FORT KING ST",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344701504",
            "telephone_number": "352-207-3170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOVEREIGN WELLNESS & STABILIZATION RESIDENCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-01",
        "last_updated": "2026-06-01",
        "certification_date": "2026-05-31",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER/TREASURER",
        "authorized_official_telephone_number": "352-207-3170",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Substance Abuse Rehabilitation Facility in Ocala, FL
• Providers in Ocala, FL by specialty
• Substance Abuse Rehabilitation Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; 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.