Organization Active NPI

Sim Souls Group LLC

  • In Home Supportive Care Agency
  • Frisco, TX
National Provider Identifier
1083310866
Registry record updated Feb 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2023

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.