Organization · Type 2 NPI

The Sovereign Sister Medical Group

Home Health Aide · Grand Rapids, MI

NPI number 1104751890 Active

Practice location

35 Richards Ave NW
Grand Rapids, MI 49504-5452

Call (313) 777-9097 Map

Specialties and licenses

TaxonomyCodeLicense
Home Health Aide Primary 374U00000XNone listed

Home Health Aide: A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.

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About NPI 1104751890

The Sovereign Sister Medical Group's National Provider Identifier is 1104751890, issued on Jun 15, 2026. The primary taxonomy on file is Home Health Aide (374U00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Jul 29, 2026.