Sos Wellness LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SOS WELLNESS LLC

Practice address

6730 Roosevelt Ave Ste 301
Middletown, OH 45005-5736

Phone

(440) 523-9966

Fax

(513) 318-7388

NPI assigned

Mar 17, 2025

Organization subpart

No

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

Authorized official

Name

Kimberly Jarrell

Title

Administrator

Phone

(440) 523-9966

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Tax ID family

Sos Wellness LLC2 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.

• Sos Wellness LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Middletown, OH
  • NPI 1841090941
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Irfan Dahar, MD

  • Psychiatry Physician
  • Middletown, OH
  • NPI 1336101542
  Medicare reassignment Care Compare group NPD
• Shane Klaber, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Middletown, OH
  • NPI 1578369237
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1742169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742169600000",
    "number": "1861292963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6730 ROOSEVELT AVE STE 301",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450055736",
            "telephone_number": "440-523-9966",
            "fax_number": "513-318-7388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6730 ROOSEVELT AVE STE 301",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450055736",
            "telephone_number": "440-523-9966",
            "fax_number": "513-318-7388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOS WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-17",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A",
        "authorized_official_last_name": "JARRELL",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "440-523-9966"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McKayla Sorrell
• Phillip Sorrell
• Sos Mobility LLC
• Sos Primary Health Services LLC
• Sos Wellness LLC
• Jayla South
• Victoria Lee South, LPN
• Southwest Ohio Ambulatory Surgery Center, LTD
• Southwest Ohio OB/GYN Inc
• Meredith Sowder

• Mental Health Clinic/Center (Including Community Mental Health Center) in Middletown, OH
• Providers in Middletown, OH by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.