NPIMap

Organization Active NPI

Sovereign Health of Massachusetts, Inc

  • Substance Abuse Rehabilitation Facility
  • Ludlow, MA
National Provider Identifier
1760853683
Registry record updated Oct 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
SOVEREIGN HEALTH OF MASSACHUSETTS, INC
Practice address
14 Chestnut PL
Ludlow, MA 01056-3476
Phone
(949) 276-5553
NPI assigned
Oct 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2015

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

Authorized official

Name
Tonmoy Sharma
Title
Owner
Phone
(949) 369-1300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

14 Chestnut PL
Ludlow, MA 01056-3476

Mailing address

1211 Puerta del Sol Ste 200
Suite 280
San Clemente, CA 92673-6342
Phone (949) 297-5553

National Provider Directory

National Provider Directory
Tax ID family
Sovereign Health of Massachusetts Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1445212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445212800000",
    "number": "1760853683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 PUERTA DEL SOL STE 200",
            "address_2": "SUITE 280",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926736342",
            "telephone_number": "949-297-5553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 CHESTNUT PL",
            "city": "LUDLOW",
            "state": "MA",
            "postal_code": "010563476",
            "telephone_number": "949-276-5553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOVEREIGN HEALTH OF MASSACHUSETTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-19",
        "last_updated": "2015-10-19",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "TONMOY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-369-1300"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ludlow, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2015; 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.