MEDICARE: SOULCARE CONSULTS LLC

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
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1871451021
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOULCARE CONSULTS LLC

Provider Business Mailing Address
First Line	:	13807 BOULDER CANYON DR
Second Line	:
City	:	FISHERS
State	:	IN
Zip	:	46038-5359
Country	:	US
Telephone Number	:	317-579-5407
Fax Number	:	317-593-2936

Provider Business Practice Location Address
First Line	:	13807 BOULDER CANYON DR
Second Line	:
City	:	FISHERS
State	:	IN
Zip	:	46038-5359
Country	:	US
Telephone Number	:	317-579-5407
Fax Number	:	317-593-2936

Authorized Official
Title or Position	:	CEO
Name	:	ABIODUN AYINDE
Credential	:	DR
Telephone Number	:	317-579-5407

Provider Enumeration Date	:	01/14/2026
Last Update Date	:	01/14/2026

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Directions to “SOULCARE CONSULTS LLC ” Practice Location

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