Soul Healthy Care LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

SOUL HEALTHY CARE LLC

Practice address

7 Reservoir Rd Ste 2
Beverly, MA 01915-5501

Phone

(617) 512-0582

NPI assigned

Jan 8, 2020

Organization subpart

No

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

Authorized official

Name

Edwin J. Soul

Title

Owner

Phone

(617) 512-0582

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1578441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585180800000",
    "number": "1992345821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 RESERVOIR RD STE 2",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019155501",
            "telephone_number": "617-512-0582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 RESERVOIR RD STE 2",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019155501",
            "telephone_number": "617-512-0582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUL HEALTHY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-08",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A",
        "authorized_official_last_name": "SOUL",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-512-0582"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane Song, MA
• Elisa Nina Sorrentini, DO
• Ruben Sosa
• Karlos Elioref Sotelo-Leal
• Keria Sotomayor
• Soul Physical Therapy LLC
• Soulbridge Counseling and Wellness, LLC
• Olivia Chapman Southworth
• Zuriah Souvannakane
• Leticia Maria Beirao Costa Silva Souza, M.D.

• Registered Dietitian in Beverly, MA
• Providers in Beverly, MA by specialty
• Registered Dietitian in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2020; 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.