Organization Active NPI

Soul Nurturing Care Center LLC

Doing business as Soul Nurturing

  • Community Health Worker
  • Milwaukee, WI
National Provider Identifier
1215816228
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Legal business name
SOUL NURTURING CARE CENTER LLC
Doing business as
Soul Nurturing
Practice address
4601 N 45TH St
Milwaukee, WI 53218-5206
Phone
(414) 708-1078
Fax
(262) 204-8121
NPI assigned
Sep 2, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Tomika McNeice
Title
Administrator
Phone
(414) 708-1078

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 172V00000X Primary

Addresses

Primary practice location

4601 N 45TH St
Milwaukee, WI 53218-5206

Mailing address

PO Box 241607
Milwaukee, WI 53224-9035
Phone (414) 708-1078

Other practice location 1

9823 N Cedarburg Rd
Mequon, WI 53092-4568
Phone (414) 708-1078

Other practice location 2

7810 W Calumet Rd Apt 4
Milwaukee, WI 53223-3942
Phone (414) 708-1078

Other names 1

  • Soul Nurturing Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1756771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1215816228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 241607",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532249035",
            "telephone_number": "414-708-1078",
            "fax_number": "262-204-8121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 N 45TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532185206",
            "telephone_number": "414-708-1078",
            "fax_number": "262-204-8121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9823 N Cedarburg Rd",
            "address_purpose": "LOCATION",
            "city": "Mequon",
            "state": "WI",
            "postal_code": "530924568",
            "country_code": "US",
            "telephone_number": "414-708-1078",
            "fax_number": "262-204-8121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7810 W Calumet Rd Apt 4",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532233942",
            "country_code": "US",
            "telephone_number": "414-708-1078",
            "fax_number": "262-204-8121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUL NURTURING CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-02",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A",
        "authorized_official_last_name": "MCNEICE",
        "authorized_official_first_name": "TOMIKA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "414-708-1078"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Soul Nurturing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; 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.