Active NPI
Sorinity Support Services, LLC
- Nurse's Aide
- Kingsland, GA
National Provider Identifier
1083086243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- Legal business name
- SORINITY SUPPORT SERVICES, LLC
- Practice address
- 801 Hwy 40 East Ste a-139
Kingsland, GA 31548 - Phone
- (912) 335-3152
- NPI assigned
- Oct 28, 2015
- 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
- Alvina Roberts
- Title
- Owner
- Phone
- (912) 335-3152
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | Primary |
Addresses
Primary practice location
801 Hwy 40 East Ste a-139
Kingsland, GA 31548
Mailing address
801 Hwy 40 East Ste a-139
Kingsland, GA 31548
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008774400 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
801 GA Highway 40 E
Ste A139
Kingsland, GA 31548
Phone (912) 335-3152
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445990400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1445990400000",
"number": "1083086243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 HWY 40 EAST STE A-139",
"city": "KINGSLAND",
"state": "GA",
"postal_code": "31548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 HWY 40 EAST STE A-139",
"city": "KINGSLAND",
"state": "GA",
"postal_code": "31548",
"telephone_number": "912-335-3152"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SORINITY SUPPORT SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-28",
"last_updated": "2015-10-28",
"status": "A",
"authorized_official_last_name": "ROBERTS",
"authorized_official_first_name": "ALVINA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "912-335-3152"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse's Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008774400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kingsland, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.