Active NPI
Soulful Wellness Health Agency LLC
- Nursing Care Agency
- Savannah, GA
National Provider Identifier
1033907720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- Legal business name
- SOULFUL WELLNESS HEALTH AGENCY LLC
- Practice address
- 10 Colony CT
Savannah, GA 31419-2810 - Phone
- (912) 400-7649
- NPI assigned
- Apr 30, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Johnesha Grant
- Title
- Owner
- Phone
- (912) 400-7649
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Meals Provider | 174200000X | |||
| Home Health Agency | 251E00000X | |||
| Community Based Hospice Care Agency | 251G00000X | |||
| Nursing Care Agency | 251J00000X | Primary | ||
| In Home Supportive Care Agency | 253Z00000X | |||
| Assisted Living Facility (Mental Illness) | 3104A0625X | |||
| Nursing Facility/Intermediate Care Facility | 313M00000X | |||
| Private Vehicle | 347C00000X | |||
| Respite Care | 385H00000X |
Addresses
Primary practice location
10 Colony CT
Savannah, GA 31419-2810
Mailing address
10 Colony CT
Savannah, GA 31419-2810
Phone (912) 400-7649
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2326000 | Soulful Wellness Health Agency LLC | Certificate of waiver | Jun 24, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Home Health Aide
- Savannah, GA
- NPI 1043007198
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745971200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1745971200000",
"number": "1033907720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 COLONY CT",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314192810",
"telephone_number": "912-400-7649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 COLONY CT",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314192810",
"telephone_number": "912-400-7649"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOULFUL WELLNESS HEALTH AGENCY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-30",
"last_updated": "2025-04-30",
"certification_date": "2025-04-30",
"status": "A",
"authorized_official_last_name": "GRANT",
"authorized_official_first_name": "JOHNESHA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "912-400-7649"
},
"taxonomies": [
{
"code": "174200000X",
"taxonomy_group": "",
"desc": "Meals",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "3104A0625X",
"taxonomy_group": "",
"desc": "Assisted Living Facility, Assisted Living, Mental Illness",
"state": null,
"license": null,
"primary": false
},
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": null,
"license": null,
"primary": false
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": null,
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.