Organization Active NPI

Soulful Care LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Lorton, VA
National Provider Identifier
1265229629
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
SOULFUL CARE LLC
Doing business as
Soulful Care LLC
Practice address
9103 Colgrove CT
Lorton, VA 22079-1725
Phone
(301) 395-0890
NPI assigned
Apr 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Authorized official

Name
Ms. Hiyab Gebretensay
Title
Owner
Phone
(301) 395-0890

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

9103 Colgrove CT
Lorton, VA 22079-1725

Mailing address

9103 Colgrove CT
Lorton, VA 22079-1725
Phone (301) 395-0890

Other names 1

  • Soulful Care LLC 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": "1745193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750118400000",
    "number": "1265229629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9103 COLGROVE CT",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220791725",
            "telephone_number": "301-395-0890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9103 COLGROVE CT",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220791725",
            "telephone_number": "301-395-0890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOULFUL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-21",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A",
        "authorized_official_last_name": "GEBRETENSAY",
        "authorized_official_first_name": "HIYAB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-395-0890",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Soulful Care LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Soulful Care LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lorton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.