MEDICARE: SOVEREIGN HOME CARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1003761594
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOVEREIGN HOME CARE

Provider Business Mailing Address
First Line	:	3294 LAWRENCE ST
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48206-1446
Country	:	US
Telephone Number	:	313-515-9918
Fax Number	:

Provider Business Practice Location Address
First Line	:	3294 LAWRENCE ST
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48206-1446
Country	:	US
Telephone Number	:	313-515-9918
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. LA TAUNYA SPRAGGINS
Credential	:
Telephone Number	:	313-515-9918

Provider Enumeration Date	:	03/02/2026
Last Update Date	:	03/02/2026

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Directions to “SOVEREIGN HOME CARE ” Practice Location

Language	Start Address	Practice Location

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