S.O.a.R., LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

S.O.A.R., LLC

Practice address

1601 Orinoco Ave
Columbus, IN 47201-5364

Phone

(812) 378-2660

Fax

(812) 378-2696

NPI assigned

Jul 19, 2007

Last updated

Jul 19, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Trudi Michele Gilley, L.P.N., CADAC II

Title

Director

Phone

(812) 378-2660

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184803200000",
    "number": "1326248329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 ORINOCO AVE",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472015364",
            "telephone_number": "812-378-2660",
            "fax_number": "812-378-2696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 ORINOCO AVE",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472015364",
            "telephone_number": "812-378-2660",
            "fax_number": "812-378-2696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S.O.A.R., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2007-07-19",
        "status": "A",
        "authorized_official_last_name": "GILLEY",
        "authorized_official_first_name": "TRUDI",
        "authorized_official_middle_name": "MICHELE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "812-378-2660",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "L.P.N., CADAC II"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Columbus, IN
• Providers in Columbus, IN by specialty
• Community/Behavioral Health Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; 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.