Sovereign Home Health of Connecticut LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

HCA.0000886 Issued in CT

Legal business name

SOVEREIGN HOME HEALTH OF CONNECTICUT LLC

Practice address

15 Oakwood Ave
Norwalk, CT 06850-1365

Phone

(203) 858-4021

Fax

(203) 846-4400

NPI assigned

May 26, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sidney Kain, CEO

Title

Ceo

Phone

(203) 858-4021

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1432598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432598400000",
    "number": "1144609090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 OAKWOOD AVE",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068501365",
            "telephone_number": "203-858-4021",
            "fax_number": "203-846-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 OAKWOOD AVE",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068501365",
            "telephone_number": "203-858-4021",
            "fax_number": "203-846-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOVEREIGN HOME HEALTH OF CONNECTICUT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-26",
        "last_updated": "2015-05-26",
        "status": "A",
        "authorized_official_last_name": "KAIN",
        "authorized_official_first_name": "SIDNEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "203-858-4021",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "CT",
            "license": "HCA.0000886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.