Kindred Soul Health

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

KINDRED SOUL HEALTH

Practice address

2645 Dallas Hwy SW Ste 230
Marietta, GA 30064-7578

Phone

(470) 651-9536

NPI assigned

Feb 7, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Raynell Kossekpa, RN

Title

Ceo, Administrator

Phone

(470) 651-9536

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1612656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612656000000",
    "number": "1609468016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3559 ARGENT WAY",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300082201",
            "telephone_number": "470-651-9536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2645 DALLAS HWY SW STE 230",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300647578",
            "telephone_number": "470-651-9536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDRED SOUL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-07",
        "last_updated": "2021-02-07",
        "certification_date": "2021-02-07",
        "status": "A",
        "authorized_official_last_name": "KOSSEKPA",
        "authorized_official_first_name": "RAYNELL",
        "authorized_official_title_or_position": "CEO, ADMINISTRATOR",
        "authorized_official_telephone_number": "470-651-9536",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Marietta, GA
• Providers in Marietta, GA by specialty
• Home Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2021; 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.