NPI 1710248083

Sovereign Home Healthcare LLC

Organisation Preferred Provider Organization East Hartford, CT

Practice location

Address: 135 Burnside Ave STE A2, East Hartford, CT 06108-3421
Phone: (860) 461-1631
Fax: (860) 206-3815
Mailing address: 135 Burnside Ave 2a, East Hartford, CT 06108-3466

Authorised official

Name: Felix Effa
Title: Co-Manager
Phone: (860) 461-1361

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 0000578 (CT)

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Registry record

NPI: 1710248083
Entity type: Organization
NPI issued: 4 Jun 2012
Record last updated: 6 Jun 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.