Sovereignty Community Care

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

SOVEREIGNTY COMMUNITY CARE

Practice address

7288 Hanover Green Dr
Mechanicsville, VA 23111-1706

Phone

(919) 264-7517

NPI assigned

Oct 18, 2010

Last updated

Oct 18, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Garrick Jones

Title

Owner/ Director

Phone

(919) 261-9083

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287360000000",
    "number": "1750691283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 CALAVARAS LN",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275457350",
            "telephone_number": "919-261-9083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7288 HANOVER GREEN DR",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231111706",
            "telephone_number": "919-264-7517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOVEREIGNTY COMMUNITY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-18",
        "last_updated": "2010-10-18",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "GARRICK",
        "authorized_official_title_or_position": "OWNER/ DIRECTOR",
        "authorized_official_telephone_number": "919-261-9083"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawne E. Soper, PT
• Andrea Sorlie, LPT
• Rachel O. Southard, OT
• Southeastern Home Health Care, LLC (AccentCare Home Health of Virginia)
• Southern Change Behavioral Health Services, LLC
• Shaun Andrew Spadafora, MD
• Bryanna Eva Spalla
• Courtney Leigh Spates, MS
• Eleanor Speidel, LCP
• Rebecca Ann Spencer, LCSW

• Case Management Agency in Mechanicsville, VA
• Providers in Mechanicsville, VA by specialty
• Case Management Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; 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.