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NPI Code Detail

MEDICARE: HEALING SOUL HEALTHCARE SERVICES INC

MEDICARE: HEALING SOUL HEALTHCARE SERVICES INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251C00000XDevelopmentally Disabled Services Day Training Agency
2251J00000XNursing Care Agency
3251E00000XHome Health Agency
43747P1801XPersonal Care Attendant
5385HR2060XChild Intellectual and/or Developmental Disabilities Respite Care
6253Z00000XIn Home Supportive Care Agency
7363LP0808XPsychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number : 1861196024
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEALING SOUL HEALTHCARE SERVICES INC
Provider Business Mailing Address
First Line : 2930 KAINER MEADOWS LN
Second Line :
City : HOUSTON
State : TX
Zip : 77047-6226
Country : US
Telephone Number : 832-228-7163
Fax Number :
Provider Business Practice Location Address
First Line : 2930 KAINER MEADOWS LN
Second Line :
City : HOUSTON
State : TX
Zip : 77047-6226
Country : US
Telephone Number : 832-228-7163
Fax Number :
Authorized Official
Title or Position : PRESIDENT /CEO
Name : CHIGOZIE ACHUBIE
Credential :
Telephone Number : 832-228-7163
Provider Enumeration Date : 03/29/2023
Last Update Date : 03/27/2026

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Directions to “HEALING SOUL HEALTHCARE SERVICES INC ” Practice Location

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