Sovereign Home Healthcare LLC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

0000578 Issued in CT

Legal business name

SOVEREIGN HOME HEALTHCARE LLC

Practice address

135 Burnside Ave Ste A2
East Hartford, CT 06108-3421

Phone

(860) 461-1631

Fax

(860) 206-3815

NPI assigned

Jun 4, 2012

Organization subpart

No

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

Authorized official

Name

Felix Effa, OWNER

Title

Co-Manager

Phone

(860) 461-1361

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1338768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370476800000",
    "number": "1710248083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 BURNSIDE AVE",
            "address_2": "2A",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061083466",
            "telephone_number": "860-461-1631",
            "fax_number": "860-206-3815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 BURNSIDE AVE STE A2",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061083421",
            "telephone_number": "860-461-1631",
            "fax_number": "860-206-3815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOVEREIGN HOME HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-04",
        "last_updated": "2013-06-06",
        "status": "A",
        "authorized_official_last_name": "EFFA",
        "authorized_official_first_name": "FELIX",
        "authorized_official_title_or_position": "CO-MANAGER",
        "authorized_official_telephone_number": "860-461-1361",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CT",
            "license": "0000578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Preferred Provider Organization in East Hartford, CT
• Providers in East Hartford, CT by specialty
• Preferred Provider Organization in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2013; 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.