Healthcare Provider Details

I. General information

NPI: 1417731076
Provider Name (Legal Business Name): SOOTHING SOULS HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2023
Last Update Date: 01/12/2026
Certification Date: 01/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

303 S MAIN ST STE 106
MISHAWAKA IN
46544-2159
US

IV. Provider business mailing address

1162 E INDIANA AVE
SOUTH BEND IN
46613-3041
US

V. Phone/Fax

Practice location:
  • Phone: 574-213-2303
  • Fax:
Mailing address:
  • Phone: 574-520-3768
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: MS. LYRICS D MORTON
Title or Position: CEO
Credential:
Phone: 574-520-3768