NPIMap

Organization Active NPI

Sovereign Healthcare,LLC

  • Non-emergency Medical Transport (VAN)
  • Washington, NC
National Provider Identifier
1457542730
Registry record updated Aug 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
HAL-025-023 Issued in NC
Legal business name
SOVEREIGN HEALTHCARE,LLC
Practice address
114 Hodges Ave
Washington, NC 27889-3855
Phone
(252) 946-4334
Fax
(252) 946-9334
NPI assigned
Aug 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2007

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

Authorized official

Name
Ms. Dianna Renee Turner
Title
Administrator
Phone
(252) 946-7185

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X HAL-025-023 NC Primary

Addresses

Primary practice location

114 Hodges Ave
Washington, NC 27889-3855

Mailing address

114 Hodges Ave
Washington, NC 27889-3855
Phone (252) 946-4334

Other identifiers 1

IdentifierTypeStateIssuer
7805577MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Sovereign Healthcarellc11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186272000000",
    "number": "1457542730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 HODGES AVE",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278893855",
            "telephone_number": "252-946-4334",
            "fax_number": "252-946-9334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 HODGES AVE",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278893855",
            "telephone_number": "252-946-4334",
            "fax_number": "252-946-9334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOVEREIGN HEALTHCARE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-08-05",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "DIANNA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "252-946-7185",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NC",
            "license": "HAL-025-023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805577",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2007; 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.