Organization Active NPI

Sovereign Care Home Health LLC

  • Home Health Agency
  • Indianapolis, IN
National Provider Identifier
1639989460
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SOVEREIGN CARE HOME HEALTH LLC
Practice address
9511 Angola CT
Indianapolis, IN 46268-1119
Phone
(317) 654-4609
NPI assigned
Jan 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Authorized official

Name
Nataya Cook, PMP
Title
Ceo
Phone
(317) 654-4609

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

9511 Angola CT
Indianapolis, IN 46268-1119

Mailing address

11410 Pace CT
Indianapolis, IN 46229-4139
Phone (317) 654-4609

National Provider Directory

National Provider Directory

Locations

9511 Angola Ct
Indianapolis, IN 46268
Phone (317) 210-0070

NPI Registry JSON

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

{
    "created_epoch": "1736726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736726400000",
    "number": "1639989460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11410 PACE CT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462294139",
            "telephone_number": "317-654-4609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9511 ANGOLA CT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462681119",
            "telephone_number": "317-654-4609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOVEREIGN CARE HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-13",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "NATAYA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "317-654-4609",
        "authorized_official_credential": "PMP"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; 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.