Organization Active NPI

SE Soulever

  • In Home Supportive Care Agency
  • Aliquippa, PA
National Provider Identifier
1205533635
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SE SOULEVER
Practice address
524 Franklin Ave
Aliquippa, PA 15001-3728
Phone
(724) 378-2882
NPI assigned
Feb 15, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

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

Authorized official

Name
Willie McMiller
Title
Owner
Phone
(724) 312-5777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

524 Franklin Ave
Aliquippa, PA 15001-3728

Mailing address

524 Franklin Ave
Aliquippa, PA 15001-3728
Phone (724) 378-2882

Other identifiers 1

IdentifierTypeStateIssuer
104068643MedicaidPA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1676419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676419200000",
    "number": "1205533635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 FRANKLIN AVE",
            "city": "ALIQUIPPA",
            "state": "PA",
            "postal_code": "150013728",
            "telephone_number": "724-378-2882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 FRANKLIN AVE",
            "city": "ALIQUIPPA",
            "state": "PA",
            "postal_code": "150013728",
            "telephone_number": "724-378-2882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SE SOULEVER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-15",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A",
        "authorized_official_last_name": "MCMILLER",
        "authorized_official_first_name": "WILLIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-312-5777"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104068643",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aliquippa, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.