# SOVEREIGNTY SUPPORT SERVICES LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1700319845
- **Authorized official:** MR. LENNOX ALPHANSO MARS JR. MPA (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (862) 233-3596

## Contact information

- **Practice address:** 70 W GRAND ST, ELIZABETH, NJ 07202-1988
- **Practice address phone:** (862) 233-3596
- **Practice address fax:** (888) 767-9772
- **Mailing address:** 70 W GRAND ST, ELIZABETH, NJ 07202-1988
- **Mailing address phone:** (862) 233-3596
- **Mailing address fax:** (888) 767-9772

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/05/2017
- **Last updated:** 02/21/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1700319845 | — | NJ |