Active NPI
Soulful Solutions Inc
- Public Health or Welfare Agency
- Fridley, MN
National Provider Identifier
1821770033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- Legal business name
- SOULFUL SOLUTIONS INC
- Practice address
- 6803 Channel Rd NE
Fridley, MN 55432-4619 - Phone
- (651) 342-0813
- NPI assigned
- Aug 7, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Villeneuve
- Title
- Coo
- Phone
- (651) 208-5161
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | Primary | ||
| In Home Supportive Care Agency | 253Z00000X |
Addresses
Primary practice location
6803 Channel Rd NE
Fridley, MN 55432-4619
Mailing address
PO Box 292
Stillwater, MN 55082-0292
Phone (651) 461-1421
Other practice location 1
241 3rd St N
Bayport, MN 55003-1028
Phone (651) 461-1421
National Provider Directory
National Provider DirectoryLocations
241 3rd St N
Bayport, MN 55003
Phone (651) 461-1421
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Case Manager/Care Coordinator
- Fridley, MN
- NPI 1477235513
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691366400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721520000000",
"number": "1821770033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 292",
"city": "STILLWATER",
"state": "MN",
"postal_code": "550820292",
"telephone_number": "651-461-1421",
"fax_number": "651-461-1340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6803 CHANNEL RD NE",
"city": "FRIDLEY",
"state": "MN",
"postal_code": "554324619",
"telephone_number": "651-342-0813"
}
],
"practiceLocations": [
{
"address_1": "241 3rd St N",
"address_purpose": "LOCATION",
"city": "Bayport",
"state": "MN",
"postal_code": "550031028",
"country_code": "US",
"telephone_number": "651-461-1421",
"fax_number": "651-461-1340",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SOULFUL SOLUTIONS INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-07",
"last_updated": "2024-07-21",
"certification_date": "2024-07-21",
"status": "A",
"authorized_official_last_name": "VILLENEUVE",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "651-208-5161"
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": null,
"license": null,
"primary": true
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fridley, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.