Organization Active NPI

Keep Soul Alive Supportive Living LLC

  • Assisted Living Facility (Mental Illness)
  • Memphis, TN
National Provider Identifier
1598555690
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
Legal business name
KEEP SOUL ALIVE SUPPORTIVE LIVING LLC
Practice address
3164 Rochester Rd
Memphis, TN 38109-3268
Phone
(901) 509-3140
NPI assigned
May 12, 2025
Last updated
May 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Authorized official

Name
Monicia SimsNPI 1427876374
Title
Owner
Phone
(901) 303-4687

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X NU Primary

Addresses

Primary practice location

3164 Rochester Rd
Memphis, TN 38109-3268

Mailing address

3164 Rochester Rd
Memphis, TN 38109-3268
Phone (901) 509-3140

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1747008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747008000000",
    "number": "1598555690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3164 ROCHESTER RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381093268",
            "telephone_number": "901-509-3140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3164 ROCHESTER RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381093268",
            "telephone_number": "901-509-3140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEEP SOUL ALIVE SUPPORTIVE LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-12",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-11",
        "status": "A",
        "authorized_official_last_name": "SIMS",
        "authorized_official_first_name": "MONICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-303-4687"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.