Active NPI
Heart and Soul Personal Services
- Community Based Hospice Care Agency
- Goshen, IN
National Provider Identifier
1962093252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- HEART AND SOUL PERSONAL SERVICES
- Practice address
- 2623 Lismore Dr
Goshen, IN 46526-6118 - Phone
- (574) 326-8055
- NPI assigned
- Jan 29, 2021
- 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
- Angelia Butler
- Title
- Owner
- Phone
- (574) 326-8055
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary | ||
| PACE Provider Organization | 251T00000X | |||
| Homemaker | 376J00000X | |||
| Respite Care | 385H00000X |
Addresses
Primary practice location
2623 Lismore Dr
Goshen, IN 46526-6118
Mailing address
2623 Lismore Dr
Goshen, IN 46526-6118
Phone (574) 326-8055
Other names 1
- heart and soul personal services
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | other | Other |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611878400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1619481600000",
"number": "1962093252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2623 LISMORE DR",
"city": "GOSHEN",
"state": "IN",
"postal_code": "465266118",
"telephone_number": "574-326-8055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2623 LISMORE DR",
"city": "GOSHEN",
"state": "IN",
"postal_code": "465266118",
"telephone_number": "574-326-8055"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEART AND SOUL PERSONAL SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-29",
"last_updated": "2021-04-27",
"certification_date": "2021-04-27",
"status": "A",
"authorized_official_last_name": "BUTLER",
"authorized_official_first_name": "ANGELIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "574-326-8055"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
},
{
"code": "251T00000X",
"taxonomy_group": "",
"desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
"state": null,
"license": null,
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "other",
"affiliation": "N",
"endpointDescription": "other",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "other",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "other",
"address_1": "2623 Lismore Dr",
"city": "Goshen",
"state": "IN",
"country_code": "US",
"postal_code": "465266118",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "heart and soul personal services",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Goshen, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.