Active NPI
Sovereign Case Management LLC
- Case Management Agency
- Benbrook, TX
National Provider Identifier
1306268933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- License
- 590813
- Legal business name
- SOVEREIGN CASE MANAGEMENT LLC
- Practice address
- 10121 Locksley Dr
Benbrook, TX 76126-4010 - Phone
- (817) 760-0407
- NPI assigned
- Jan 16, 2014
- Last updated
- Jan 16, 2014
- 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
- Mrs. Sherry Pacleb, RN, CCM
- Title
- Chief Executive Officer
- Phone
- (817) 760-0407
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | 590813 | TX | Primary |
Addresses
Primary practice location
10121 Locksley Dr
Benbrook, TX 76126-4010
Mailing address
10121 Locksley Dr
Benbrook, TX 76126-4010
Phone (817) 760-0407
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389830400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1389830400000",
"number": "1306268933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10121 LOCKSLEY DR",
"city": "BENBROOK",
"state": "TX",
"postal_code": "761264010",
"telephone_number": "817-760-0407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10121 LOCKSLEY DR",
"city": "BENBROOK",
"state": "TX",
"postal_code": "761264010",
"telephone_number": "817-760-0407"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOVEREIGN CASE MANAGEMENT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-16",
"last_updated": "2014-01-16",
"status": "A",
"authorized_official_last_name": "PACLEB",
"authorized_official_first_name": "SHERRY",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "817-760-0407",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN, CCM"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "TX",
"license": "590813",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Benbrook, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.