Soul LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

SOUL LLC

Practice address

5134 Humboldt Ave N
Minneapolis, MN 55430-3427

Phone

(612) 310-3806

NPI assigned

Jun 29, 2022

Organization subpart

No

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

Authorized official

Name

Lakeesha M JonesNPI 1235724154

Title

Ceo/Director

Phone

(612) 310-3806

Specialties & licenses 2

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lakeesha M Jones

  • In Home Supportive Care Agency
  • Minneapolis, MN
  • NPI 1235724154
  NPD Authorized official

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

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656460800000",
    "number": "1912639741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5134 HUMBOLDT AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554303427",
            "telephone_number": "612-310-3806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5134 HUMBOLDT AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554303427",
            "telephone_number": "612-310-3806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-29",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-18",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "LAKEESHA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO/DIRECTOR",
        "authorized_official_telephone_number": "612-310-3806"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "soulllc1@gmail.com",
            "affiliation": "N",
            "endpointDescription": "soulllc1@gmail.com",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5134 Humboldt Ave N",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554303427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ayman Soubra, M.D.
• Steven S Souchtchenko, DO
• Mary Souder
• Chase Robert Soukup, MD
• Thomas V. Soukup, D.O.
• Kathryn Eleanor Soule, PA-C
• Matthew Soule, M.D.
• Elizabeth Decatur Stafford Soulen, P.T. (PHYSICAL THERA
• Benhoor Soumekh, MD
• Sound Connections Counseling

• In Home Supportive Care Agency in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• In Home Supportive Care Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; 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.