Organization Active NPI

Sorc, LLC

  • Case Management Agency
  • Houston, TX
National Provider Identifier
1033536255
Registry record updated Jan 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
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

Updated by the provider on Jan 16, 2022

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1134667538MedicaidOH
1134667538MedicaidMI
1396076543MedicaidTX
4226219MedicaidTX
4234783MedicaidTX
1134667538MedicaidTX
1033536255MedicaidTX
1063629608MedicaidOH
1063629608MedicaidMI

Other names 1

  • SORC ReGrowth Other name

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.