Active NPI
Sorc, LLC
- Case Management Agency
- Houston, TX
National Provider Identifier
1033536255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- SORC, LLC
- Practice address
- 11811 North Fwy Ste 100
Houston, TX 77060-3244 - Phone
- (419) 378-9212
- NPI assigned
- Mar 26, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tryna Smoot, CDCA
- Title
- Owner/Executive Director
- Phone
- (419) 378-9212
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Family Medicine Physician | 207Q00000X | |||
| Case Management Agency | 251B00000X | Primary | ||
| Community/Behavioral Health Agency | 251S00000X | 13527 | OH | |
| Community/Behavioral Health Agency | 251S00000X |
Addresses
Primary practice location
11811 North Fwy Ste 100
Houston, TX 77060-3244
Mailing address
723 Phillips Ave BLDG E
Toledo, OH 43612-1351
Phone (419) 407-5981
Other practice location 1
723 Phillips Ave Bldg E
Toledo, OH 43612-1351
Phone (419) 407-5981
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134667538 | Medicaid | OH | |
| 1134667538 | Medicaid | MI | |
| 1396076543 | Medicaid | TX | |
| 4226219 | Medicaid | TX | |
| 4234783 | Medicaid | TX | |
| 1134667538 | Medicaid | TX | |
| 1033536255 | Medicaid | TX | |
| 1063629608 | Medicaid | OH | |
| 1063629608 | Medicaid | MI |
Other names 1
- SORC ReGrowth
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395792000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1642291200000",
"number": "1033536255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "723 PHILLIPS AVE BLDG E",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436121351",
"telephone_number": "419-407-5981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11811 NORTH FWY STE 100",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770603244",
"telephone_number": "419-378-9212"
}
],
"practiceLocations": [
{
"address_1": "723 Phillips Ave Bldg E",
"address_purpose": "LOCATION",
"city": "Toledo",
"state": "OH",
"postal_code": "436121351",
"country_code": "US",
"telephone_number": "419-407-5981",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SORC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-03-26",
"last_updated": "2022-01-16",
"certification_date": "2022-01-16",
"status": "A",
"authorized_official_last_name": "SMOOT",
"authorized_official_first_name": "TRYNA",
"authorized_official_title_or_position": "OWNER/EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "419-378-9212",
"authorized_official_credential": "CDCA"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "OH",
"license": "13527",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1134667538",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1134667538",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1396076543",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4226219",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4234783",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1134667538",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1033536255",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1063629608",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1063629608",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SORC ReGrowth",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "SORC ReGrowth",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.