Provider Demographics
NPI:1023718848
Name:HEART AND SOUL HEALTHCARE, LLC
Entity type:Organization
Organization Name:HEART AND SOUL HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:KAHEEM
Authorized Official - Middle Name:
Authorized Official - Last Name:FREEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-361-8448
Mailing Address - Street 1:715 PEACHTREE ST NE STE 100-200
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30308-2177
Mailing Address - Country:US
Mailing Address - Phone:678-644-0337
Mailing Address - Fax:678-802-3121
Practice Address - Street 1:715 PEACHTREE ST NE STE 100-200
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30308-2177
Practice Address - Country:US
Practice Address - Phone:678-644-0337
Practice Address - Fax:678-802-3121
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-09
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care