Organization Active NPI

Soar Transitional Homes and Recovery Centers of Nela

Doing business as Soar Community Clinic

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Monroe, LA
National Provider Identifier
1417733882
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
SOAR TRANSITIONAL HOMES AND RECOVERY CENTERS OF NELA
Doing business as
Soar Community Clinic
Practice address
201 Century Village Blvd Ste 247
Monroe, LA 71203-2006
Phone
(318) 395-6619
Fax
(318) 575-4054
NPI assigned
Sep 1, 2023
Last updated
Sep 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2023

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

Authorized official

Name
Nasir Al-Hajj MuhammadNPI 1891560009
Title
Owner
Phone
(318) 395-6619

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Professional Counselor 101YP2500X NU
Addiction Medicine (Family Medicine) Physician 207QA0401X NU

Addresses

Primary practice location

201 Century Village Blvd Ste 247
Monroe, LA 71203-2006

Mailing address

201 Century Village Blvd Ste 247
Monroe, LA 71203-2006
Phone (318) 395-6619

Other names 1

  • Soar Community Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Soar Community Clinic2 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.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1693526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693526400000",
    "number": "1417733882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 CENTURY VILLAGE BLVD STE 247",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712032006",
            "telephone_number": "318-395-6619",
            "fax_number": "318-575-4054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 CENTURY VILLAGE BLVD STE 247",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712032006",
            "telephone_number": "318-395-6619",
            "fax_number": "318-575-4054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOAR TRANSITIONAL HOMES AND RECOVERY CENTERS OF NELA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-01",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A",
        "authorized_official_last_name": "MUHAMMAD",
        "authorized_official_first_name": "NASIR",
        "authorized_official_middle_name": "AL-HAJJ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-395-6619"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Soar Community Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2023; 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.