Organization Active NPI

Sorinity Support Services, LLC

  • Nurse's Aide
  • Kingsland, GA
National Provider Identifier
1083086243
Registry record updated Oct 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
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

Updated by the provider on Oct 28, 2015

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)CodeLicenseStatePrimary
Nurse's AideGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
008774400MedicaidFL

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.