Innersoul LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

INNERSOUL LLC

Practice address

760 W Locust Dr
Chandler, AZ 85248-4471

Phone

(619) 316-5779

Fax

(602) 801-3543

NPI assigned

Apr 11, 2025

Organization subpart

No

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

Authorized official

Name

Ryan Arguillo

Title

Licensee

Phone

(619) 316-5779

Specialties & licenses 1

Addresses

Other names 1

• SOULBIRD CARE HOME Doing business as

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

{
    "created_epoch": "1744329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744329600000",
    "number": "1659166320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 W LOCUST DR",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852484471",
            "telephone_number": "619-316-5779",
            "fax_number": "602-801-3543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 W LOCUST DR",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852484471",
            "telephone_number": "619-316-5779",
            "fax_number": "602-801-3543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNERSOUL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-11",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A",
        "authorized_official_last_name": "ARGUILLO",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "619-316-5779"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOULBIRD CARE HOME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Assisted Living Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.