Mind Body and Soul Homecare Services

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

MIND BODY AND SOUL HOMECARE SERVICES

Practice address

565 Hank Aaron Dr SW Apt 5090
Atlanta, GA 30312-2889

Phone

(404) 839-2107

NPI assigned

Jun 17, 2024

Organization subpart

No

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

Authorized official

Name

Kalia C Lucas-Smith

Title

Nurse

Phone

(404) 839-2107

Specialties & licenses 7

Addresses

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

{
    "created_epoch": "1718582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718582400000",
    "number": "1962245142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 HANK AARON DR SW APT 5090",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303122889",
            "telephone_number": "404-839-2107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 HANK AARON DR SW APT 5090",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303122889",
            "telephone_number": "404-839-2107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND BODY AND SOUL HOMECARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-17",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A",
        "authorized_official_last_name": "LUCAS-SMITH",
        "authorized_official_first_name": "KALIA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "NURSE",
        "authorized_official_telephone_number": "404-839-2107"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Wound Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Practical Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mina Jacob, MD, PC
• Mary Alice Nading Mina, M.D.
• Roberto Mina, MD
• Alexandra Minasian
• Jeffrey Hampar Minassian, MD
• Mind Body Spirit Wellness Inc
• Mind Body Works LLC
• Mind Restoration, LLC
• Mind, Body, Peace LLC
• Mind'S Eye Enterprises, LLC

• Nursing Care Agency in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Nursing Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.