Sovereign Rocky River LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SOVEREIGN ROCKY RIVER LLC

Practice address

27420 Mill Rd
North Olmsted, OH 44070-3190

Phone

(216) 302-2719

Fax

(216) 302-2721

NPI assigned

Feb 14, 2023

Organization subpart

No

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

Authorized official

Name

Chuck Calabrase

Title

Chief Financial Officer

Phone

(216) 302-2719

Specialties & licenses 1

Addresses

Other names 1

• The Inn at Joshua Tree Doing business as

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

{
    "created_epoch": "1676332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677110400000",
    "number": "1164129706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14801 HOLLAND RD",
            "city": "BROOKPARK",
            "state": "OH",
            "postal_code": "441423092",
            "telephone_number": "216-302-2719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27420 MILL RD",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440703190",
            "telephone_number": "216-302-2719",
            "fax_number": "216-302-2721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOVEREIGN ROCKY RIVER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-14",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A",
        "authorized_official_last_name": "CALABRASE",
        "authorized_official_first_name": "CHUCK",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "216-302-2719"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Inn at Joshua Tree",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David M Sorboro, D.D.S., M.S.
• Haley Sorensen, SOCIAL WORKER
• Edward Sosnowski, D.C.
• George Andrew Souris, DDS, MSD
• Dawn Sova
• Rae Speaker, MSSA
• Patricia Lynn Spencer, H.I.S.
• St. Clarence Geac
• Katherine E Steffen, LPN
• Stephen Musser DPM, Inc.

• Assisted Living Facility in North Olmsted, OH
• Providers in North Olmsted, OH by specialty
• Assisted Living Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; 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.