# SOVEREIGN CARE HOME HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639989460
- **Authorized official:** NATAYA COOK PMP (CEO)
- **Authorized official phone:** (317) 654-4609

## Contact information

- **Practice address:** 9511 ANGOLA CT, INDIANAPOLIS, IN 46268-1119
- **Practice address phone:** (317) 654-4609
- **Mailing address:** 11410 PACE CT, INDIANAPOLIS, IN 46229-4139
- **Mailing address phone:** (317) 654-4609

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 01/13/2025
- **Last updated:** 01/13/2025