Active NPI
Sorc, LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Toledo, OH
National Provider Identifier
1831692029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0101281 | Medicaid | OH |
National Provider Directory
National Provider DirectoryNPI 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.