NPIMap

Organization Active NPI

Sovereign Care Services

  • Day Training/Habilitation Specialist
  • North Brunswick, NJ
National Provider Identifier
1851957294
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Day Training/Habilitation SpecialistTaxonomy code 373H00000X
Legal business name
SOVEREIGN CARE SERVICES
Practice address
1346 How LN # 104
North Brunswick, NJ 08902-1725
Phone
(609) 450-3504
NPI assigned
May 10, 2019
Last updated
Nov 27, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
SOVEREIGN CARE SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Authorized official

Name
Thelma Wilson
Title
President
Phone
(609) 450-3504

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Day Training/Habilitation SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 373H00000X Primary

Addresses

Primary practice location

1346 How LN # 104
North Brunswick, NJ 08902-1725

Mailing address

2500 Brunswick Pike Ste 200
Lawrence Township, NJ 08648-4134
Phone (609) 450-3504

Other identifiers 1

IdentifierTypeStateIssuer
0560120MedicaidNJ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address thelma@sovereigncareservices.com Direct Sovereign Care Services

National Provider Directory

National Provider Directory
Tax ID family
Sovereign Care Services6 organizations share this tax ID, including this one
Part of
Sovereign Care Services

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1346 How Ln
Ste 104
North Brunswick, NJ 08902
Phone (609) 450-3504

NPI Registry JSON

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

{
    "created_epoch": "1557446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1851957294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 BRUNSWICK PIKE STE 200",
            "city": "LAWRENCE TOWNSHIP",
            "state": "NJ",
            "postal_code": "086484134",
            "telephone_number": "609-450-3504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1346 HOW LN # 104",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089021725",
            "telephone_number": "609-450-3504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOVEREIGN CARE SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOVEREIGN CARE SERVICES",
        "enumeration_date": "2019-05-10",
        "last_updated": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "THELMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-450-3504"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0560120",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "thelma@sovereigncareservices.com",
            "affiliation": "Y",
            "endpointDescription": "Email Address",
            "affiliationName": "Sovereign Care Services",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1346 How Ln # 104",
            "city": "North Brunswick",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "089021725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in North Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.