Heart and Soul Communities, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

HEART AND SOUL COMMUNITIES, LLC

Practice address

2245 Sol St
San Leandro, CA 94578-1354

Phone

(510) 927-8046

NPI assigned

Jul 18, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ericka Tillis

Title

Owner

Phone

(510) 927-8046

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1721260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721260800000",
    "number": "1003654518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2245 SOL ST",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945781354",
            "telephone_number": "510-927-8046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2245 SOL ST",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945781354",
            "telephone_number": "510-927-8046"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3770 Suter St",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946191245",
            "country_code": "US",
            "telephone_number": "510-927-8046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEART AND SOUL COMMUNITIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-18",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A",
        "authorized_official_last_name": "TILLIS",
        "authorized_official_first_name": "ERICKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-927-8046"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.