Sos Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SOS INC

Practice address

215 Memorial Drive
Jacksonville, NC 28545-6333

Phone

(910) 219-7938

Fax

(910) 353-1436

NPI assigned

Feb 9, 2007

Organization subpart

Yes

Parent organization

SOS INCAs reported in NPPES

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

Authorized official

Name

Mr. Oliver Wendell Ford, LPN

Title

President

Phone

(910) 347-2001

Specialties & licenses 1

Addresses

Other identifiers 4

Part of

Sos Inc

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Sos,Inc

  • Community/Behavioral Health Agency
  • Jacksonville, NC
  • NPI 1487778916
  NPPES parent name

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222300800000",
    "number": "1497896658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 DEWITT ST # 6",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285405649",
            "telephone_number": "910-347-2001",
            "fax_number": "910-347-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 MEMORIAL DRIVE",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285456333",
            "telephone_number": "910-219-7938",
            "fax_number": "910-353-1436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOS INC",
        "enumeration_date": "2007-02-09",
        "last_updated": "2008-09-25",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "OLIVER",
        "authorized_official_middle_name": "WENDELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-347-2001",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3418855",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301942",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301271",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301271B",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maren Elise Soetaert, PT, DPT, ATC
• Milinna Sok
• Gail Allyson Solomon
• Kaylin E Soper, LCSWA
• Phoebe Ann Sorah, RN
• Sos,Inc
• Emily Sotelo
• Soundside Orthotics & Prosthetics, LLC
• Southeastern Healthcare of Jacksonville
• Southeastern Healthcare of Jacksonville, PC

• Community/Behavioral Health Agency in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2008; 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.