SOVEREIGN CARE SERVICES (NPI# 1851957294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851957294 |
| Entity Type | Organization |
| Organization Name | SOVEREIGN CARE SERVICES |
| Practice Address |
1346 How Ln # 104 North Brunswick NJ 08902-1725 |
| Mailing Address |
2500 Brunswick Pike Ste 200 Lawrence Township NJ 08648-4134 |
| Practice Telephone | 6094503504 |
| Mailing Telephone | 6094503504 |
| Enumeration Date | 2019-05-10 |
| Last Update Date | 2019-05-10 |
| Authorized Official Name | THELMA WILSON (PRESIDENT) |
| Authorized Official Telephone | 6094503504 |
| Is Organization Subpart | Y |
| Parent Organization Name | SOVEREIGN CARE SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 373H00000X | Day Training/Habilitation Specialist | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0560120 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780290445 | Sovereign Care Services | Behavioral Analyst | 2500 Brunswick Pike Ste 200, Lawrenceville, NJ 08648-4134 | 2020-09-18 |
| 1124558101 | Sovereign Care Services | Day Training, Developmentally Disabled Services | 415 Columbus Ave, Trenton, NJ 08629-2706 | 2017-06-13 |
| 1679015424 | Sovereign Care Services | Community/Behavioral Health | 415 Columbus Ave, Trenton, NJ 08629-2706 | 2016-11-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SOVEREIGN CARE SERVICES LLP | 415 Columbus Ave, Trenton, NJ 08629-2706 |
| Street Address |
1346 HOW LN # 104 |
| City | NORTH BRUNSWICK |
| State | NJ |
| Zip Code | 08902-1725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932749835 | Helping Hands Healthcare Inc. | Clinic/Center | Helpinghands Healthcare Inc., 219 Black-horse Lane, North Brunswick, NJ 08902 | 2020-01-09 |
| 1598304370 | Jenna Kong | Dietitian, Registered | 943b Village Drive West, North Brunswick, NJ 08902 | 2019-12-27 |
| 1811556533 | Broadway Respite and Home Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1364 Sioux Rd, North Brunswick, NJ 08902 | 2019-06-06 |
| 1629635495 | Sarina Mulleavey LLC | Social Worker | 547 Havard Place, North Brunswick, NJ 08902 | 2019-05-28 |
| 1679044846 | Dental Cosmetic Center of North Brunswick PC | Dentist | 1648 Route 130 North, Suite #5, North Brunswick, NJ 08902 | 2018-12-16 |
| 1023502127 | Dungarvin New Jersey, LLC-albury | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 82 Albury Way, North Brunswick, NJ 08902 | 2018-06-21 |
| 1831617026 | Broadway Respite and Home Care, LLC | Respite Care | 1007 Livingston Ave, North Brunswick, NJ 08902 | 2017-09-07 |
| 1104349232 | Community Dental of North Brunswick | Dentist | 566 Milltown Road, North Brunswick, NJ 08902 | 2017-07-20 |
| 1174059539 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 60 Riva Ave, North Brunswick, NJ 08902 | 2017-05-04 |
| 1336671684 | Pankti Dhaval Barot | Physical Therapist | 725 Perry Drive, North Brunswick, NJ 08902 | 2017-03-28 |
| Find all providers in zip 08902 | ||||
| Taxonomy Code | 373H00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Day Training/Habilitation Specialist |
| Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255930343 | Telisha Reams | Day Training/Habilitation Specialist | 280 Wayne Ave Apt 10, Paterson, NJ 07502-1736 | 2020-10-20 |
| 1912506338 | Tara Jones | Day Training/Habilitation Specialist | 22 Gladstone Ave, Newark, NJ 07106-2208 | 2020-10-19 |
| 1750921805 | Elizabeth Adekunle | Day Training/Habilitation Specialist | 120 Green St Apt 310, Newark, NJ 07105-6798 | 2020-01-07 |
| 1770129975 | Essex Regional Educational Services Commission | Day Training/Habilitation Specialist | 520 Pompton Avenue, Attn: Amy Woods, Cedar Grove, NJ 07009 | 2019-11-22 |
| 1578105185 | Total Care Day Habilitation LLC | Day Training/Habilitation Specialist | 35 Highland Ave, Piscataway, NJ 08854-4813 | 2019-10-15 |
| 1366092710 | New Beginning for Special Needs Inc | Day Training/Habilitation Specialist | 75 Stivers St, Cresskill, NJ 07626-1817 | 2019-09-18 |
| 1982253167 | Mastery Curriculum Vitae | Day Training/Habilitation Specialist | 10 Mattimore St, Passaic, NJ 07055-7010 | 2019-09-10 |
| 1487200051 | Roger Duckett | Day Training/Habilitation Specialist | 1035 Harding Hwy, Buena, NJ 08310-1533 | 2019-08-10 |
| 1053877837 | Etta Conteh | Day Training/Habilitation Specialist | 250 Marlboro Rd, Old Bridge, NJ 08857-1401 | 2019-02-16 |
| 1215401575 | Angela Fordham-lewis | Day Training/Habilitation Specialist | 613 Hope Road, Building #2, Eatontown, NJ 07724 | 2019-01-18 |
| Find all providers with the same taxonomy | ||||
| City | NORTH BRUNSWICK |
| Zip Code | 08902 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.