Organization Active NPI

Heart and Soul Personal Services Agency LLC

  • In Home Supportive Care Agency
  • Elkhart, IN
National Provider Identifier
1346561578
Registry record updated Jun 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
HEART AND SOUL PERSONAL SERVICES AGENCY LLC
Practice address
23737 US Highway 33
Suite C1
Elkhart, IN 46517-3564
Phone
(574) 875-5099
Fax
(574) 875-5044
NPI assigned
Jun 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2010

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

Authorized official

Name
Mrs. Angelia G Butler
Title
Owner
Phone
(574) 575-0960

Specialties & licenses 1

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

Addresses

Primary practice location

23737 US Highway 33
Suite C1
Elkhart, IN 46517-3564

Mailing address

23737 US Highway 33
Suite C1
Elkhart, IN 46517-3564
Phone (574) 875-5099

National Provider Directory

National Provider Directory
Tax ID family
Heart and Soul Personal Services Agency LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

23737 US Highway 33
Ste C1
Elkhart, IN 46517
Phone (574) 875-5099

NPI Registry JSON

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

{
    "created_epoch": "1277164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277164800000",
    "number": "1346561578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23737 US HIGHWAY 33",
            "address_2": "SUITE C1",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465173564",
            "telephone_number": "574-875-5099",
            "fax_number": "574-875-5044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23737 US HIGHWAY 33",
            "address_2": "SUITE C1",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465173564",
            "telephone_number": "574-875-5099",
            "fax_number": "574-875-5044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART AND SOUL PERSONAL SERVICES AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-22",
        "last_updated": "2010-06-22",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "ANGELIA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "574-575-0960",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhart, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2010; 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.