Active NPI
The Sovereign Sister Medical Group
- Home Health Aide
- Grand Rapids, MI
National Provider Identifier
1104751890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Legal business name
- THE SOVEREIGN SISTER MEDICAL GROUP
- Practice address
- 35 Richards Ave NW
Grand Rapids, MI 49504-5452 - Phone
- (313) 777-9097
- NPI assigned
- Jun 15, 2026
- 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
- Valerie Dock
- Title
- Owner
- Phone
- (616) 408-6161
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Primary |
Addresses
Primary practice location
35 Richards Ave NW
Grand Rapids, MI 49504-5452
Mailing address
35 Richards Ave NW
Grand Rapids, MI 49504-5452
Phone (616) 408-6161
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1781481600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785283200000",
"number": "1104751890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 RICHARDS AVE NW",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495045452",
"telephone_number": "616-408-6161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 RICHARDS AVE NW",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495045452",
"telephone_number": "313-777-9097"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE SOVEREIGN SISTER MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2026-06-15",
"last_updated": "2026-07-29",
"certification_date": "2026-07-29",
"status": "A",
"authorized_official_last_name": "DOCK",
"authorized_official_first_name": "VALERIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "616-408-6161"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
- The Inclusive & Compassionate Challenge Collective LLC
- The Lasik Vision Institute LLC
- The Mane Masterpiece LLC
- The Medical Team, Inc.
- The Orellana Insititute PC
- The Therapy Studio LLC
- The Young Men'S Christian Association of Greater Grand Rapids
- Thea Woodnorth Counseling Services LLC
- Michael Matthew Thebert, MD
- Rachel Doran Thees, OTR/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.