Organization Active NPI

Soul Health Center LLC

  • Physical Therapy Clinic/Center
  • Miami Gardens, FL
National Provider Identifier
1942041652
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
SOUL HEALTH CENTER LLC
Practice address
5911 NW 173Rd Dr
Miami Gardens, FL 33015-5121
Phone
(786) 307-8253
NPI assigned
Jun 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Authorized official

Name
Yugdades Lebrigio Salgado
Title
President
Phone
(786) 308-8253

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

5911 NW 173Rd Dr
Miami Gardens, FL 33015-5121

Mailing address

5911 NW 173Rd Dr
Miami Gardens, FL 33015-5121
Phone (786) 307-8253

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250725003358 FL Part B Supplier - Clinic/Group Practice 2961919857 Receives reassigned benefits from 2 practitioners
Practice locations: Miami Gardens, FL

National Provider Directory

National Provider Directory

Locations

5911 NW 173rd Dr
Miami Gardens, FL 33015
Phone (786) 307-8253

5911 NW 173rd Dr
Unit 24
Miami Gardens, FL 33015
Phone (786) 307-8253

Practitioners & affiliated clinicians

Practitioners 2

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": "1717545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717545600000",
    "number": "1942041652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5911 NW 173RD DR",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330155121",
            "telephone_number": "786-307-8253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5911 NW 173RD DR",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330155121",
            "telephone_number": "786-307-8253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUL HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-05",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A",
        "authorized_official_last_name": "LEBRIGIO SALGADO",
        "authorized_official_first_name": "YUGDADES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-308-8253"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.