Organization Active NPI

Sorc, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Toledo, OH
National Provider Identifier
1831692029
Registry record updated Jan 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SORC, LLC
Practice address
3518 Monroe St
Toledo, OH 43606-4114
Phone
(419) 378-9212
NPI assigned
Mar 14, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2020

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

Authorized official

Name
Tryna Sanders
Title
Owner
Phone
(419) 378-9212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

3518 Monroe St
Toledo, OH 43606-4114

Mailing address

3518 Monroe St
Toledo, OH 43606-4114
Phone (419) 378-9212

Other practice location 1

723 Phillips Ave Bldg E
Toledo, OH 43612-1351
Phone (419) 378-9212

Other identifiers 1

IdentifierTypeStateIssuer
0101281MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579564800000",
    "number": "1831692029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3518 MONROE ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436064114",
            "telephone_number": "419-378-9212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3518 MONROE ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436064114",
            "telephone_number": "419-378-9212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "723 Phillips Ave Bldg E",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436121351",
            "country_code": "US",
            "telephone_number": "419-378-9212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SORC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-14",
        "last_updated": "2020-01-21",
        "certification_date": "2020-01-21",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "TRYNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-378-9212"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0101281",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2020; 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.