Soulstar Home Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

SOULSTAR HOME CARE LLC

Practice address

3210 Friendship St
Philadelphia, PA 19149-1515

Phone

(347) 612-9415

NPI assigned

Oct 11, 2023

Organization subpart

No

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

Authorized official

Name

Aziz Wali

Title

President

Phone

(347) 612-9415

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1696982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696982400000",
    "number": "1780465153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 FRIENDSHIP ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191491515",
            "telephone_number": "347-612-9415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3210 FRIENDSHIP ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191491515",
            "telephone_number": "347-612-9415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOULSTAR HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-11",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A",
        "authorized_official_last_name": "WALI",
        "authorized_official_first_name": "AZIZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-612-9415"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Cooney Souders, CRNP
• Ellie Souganidis, M.D.
• Addison Soukup, CNP
• Benjamin Petersen Soule, MD
• Michael C Soulen, MD
• Sound Mind Therapy Co
• Suganthi Soundararajan, MD
• Souneek at Your Service Home Care Agency
• Eirini Souroulidi, LSW
• Christine V Soutendijk, MD

• In Home Supportive Care Agency in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• In Home Supportive Care Agency in Pennsylvania

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