Soul to Soul Ihca

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

SOUL TO SOUL IHCA

Practice address

10612 SE 59TH Ave
Milwaukie, OR 97222-2701

Phone

(503) 342-6141

Fax

(503) 342-6217

NPI assigned

Jan 7, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Dekebo M Yadeto, DCNPI 1417102732

Title

Director

Phone

(503) 915-3427

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SOUL TO SOUL IHCA Doing business as

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dekebo Mebrat Yadeto, DC

  • In Home Supportive Care Agency
  • Milwaukie, OR
  • NPI 1417102732
  NPD Authorized official

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

{
    "created_epoch": "1641513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641513600000",
    "number": "1306507603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10612 SE 59TH AVE",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972222701",
            "telephone_number": "503-342-6141",
            "fax_number": "503-342-6217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10612 SE 59TH AVE",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972222701",
            "telephone_number": "503-342-6141",
            "fax_number": "503-342-6217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUL TO SOUL IHCA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-07",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A",
        "authorized_official_last_name": "YADETO",
        "authorized_official_first_name": "DEKEBO",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "503-915-3427",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Milwaukie",
            "affiliation": "N",
            "endpointDescription": "IHCA",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10612 SE 59th Ave",
            "city": "Milwaukie",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972222701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "SOUL TO SOUL IHCA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelly L Soria, COTA/L
• Wendy Lizbeth Soriano-Valencia
• Fritzie Cristobal Soriano, PHYSICAL THERAPIST
• Linda Wong Soriano, PTA
• Anthony Rene Soto
• Jennifer Lynn Sousley, PTA
• Jason Southmayd, R.N.
• Ronald Lee Spangler, MD
• Linda Eileen Speizer, PHYSICAL THERAPIST
• Samson John Spilk Wall, MD

• In Home Supportive Care Agency in Milwaukie, OR
• Providers in Milwaukie, OR by specialty
• In Home Supportive Care Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2022; 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.