Delta Soul Medical Homecare

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Legal business name

DELTA SOUL MEDICAL HOMECARE

Practice address

103 S Court St
Suite 118
Cleveland, MS 38732-2651

Phone

(662) 843-0006

Fax

(662) 843-0002

NPI assigned

Apr 2, 2012

Last updated

Apr 2, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Zeyad Kassem, CEONPI 1790106870

Title

Owner

Phone

(662) 843-0006

Specialties & licenses 1

Addresses

Tax ID family

Delta Soul Medical Homecare2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Delta Soul Medical Homecare, LLC

  • Homemaker
  • Cleveland, MS
  • NPI 1679848204
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Zeyad Kassem

  • In Home Supportive Care Agency
  • Cleveland, MS
  • NPI 1790106870
  Authorized official Same address or phone

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

{
    "created_epoch": "1333324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333324800000",
    "number": "1023384245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 ASHLEY ST STE 118",
            "address_2": "SUITE 118",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387322406",
            "telephone_number": "662-843-0006",
            "fax_number": "662-843-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 S COURT ST",
            "address_2": "SUITE 118",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387322651",
            "telephone_number": "662-843-0006",
            "fax_number": "662-843-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA SOUL MEDICAL HOMECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-02",
        "last_updated": "2012-04-02",
        "status": "A",
        "authorized_official_last_name": "KASSEM",
        "authorized_official_first_name": "ZEYAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-843-0006",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delta Obstetrics & Gynecology, P.a.
• Delta Pharmacy
• Delta Physical Therapy PLLC
• Delta Radiology PLLC
• Delta Rehabilitation and Healthcare Center of Cleveland, LLC
• Delta Soul Medical Homecare, LLC
• Delta Soul Medical, LLC
• Delta State University
• Delta Vein and Artery Center, P. C.
• Delta Wound Care PLLC

• Personal Care Attendant in Cleveland, MS
• Providers in Cleveland, MS by specialty
• Personal Care Attendant in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2012; 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.