Active NPI
Sim Souls Group LLC
- In Home Supportive Care Agency
- Frisco, TX
National Provider Identifier
1083310866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- SIM SOULS GROUP LLC
- Practice address
- 4087 Guadalupe LN
Frisco, TX 75034-8483 - Phone
- (972) 372-9724
- NPI assigned
- Feb 3, 2023
- Last updated
- Feb 3, 2023
- 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
- Ansar Khan, CFA
- Title
- Director
- Phone
- (919) 308-9614
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Respite Care | 385H00000X | NU | ||
| Respite Care Camp | 385HR2050X | NU | ||
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | NU | ||
| Child Physical Disabilities Respite Care | 385HR2065X | NU | ||
| In Home Supportive Care Agency | 253Z00000X | NU | Primary |
Addresses
Primary practice location
4087 Guadalupe LN
Frisco, TX 75034-8483
Mailing address
4087 Guadalupe LN
Frisco, TX 75034-8483
Phone (972) 372-9724
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675382400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1675382400000",
"number": "1083310866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4087 GUADALUPE LN",
"city": "FRISCO",
"state": "TX",
"postal_code": "750348483",
"telephone_number": "972-372-9724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4087 GUADALUPE LN",
"city": "FRISCO",
"state": "TX",
"postal_code": "750348483",
"telephone_number": "972-372-9724"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SIM SOULS GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-03",
"last_updated": "2023-02-03",
"certification_date": "2023-02-03",
"status": "A",
"authorized_official_last_name": "KHAN",
"authorized_official_first_name": "ANSAR",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "919-308-9614",
"authorized_official_credential": "CFA"
},
"taxonomies": [
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "385HR2050X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care Camp",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "385HR2060X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "385HR2065X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Physical Disabilities, Child",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frisco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.