Organization Active NPI

Soulful Solutions Inc

  • Public Health or Welfare Agency
  • Fridley, MN
National Provider Identifier
1821770033
Registry record updated Jul 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
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

Updated by the provider on Jul 21, 2024

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

Authorized official

Name
Jennifer VilleneuveNPI 1477235513
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.