DELTA SOUL MEDICAL, LLC (NPI# 1386956027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386956027 |
| Entity Type | Organization |
| Organization Name | DELTA SOUL MEDICAL, LLC |
| Practice Address |
102 N. Pearman Ave. Ste. 1 Cleveland MS 38732 |
| Mailing Address |
311 N Berkshire Rd Bloomfield Hills MI 48302-0401 |
| Practice Telephone | 6628430006 |
| Practice Fax Number | 6628430002 |
| Mailing Telephone | 2488304662 |
| Mailing Fax Number | 2483229972 |
| Enumeration Date | 2010-07-10 |
| Last Update Date | 2010-07-10 |
| Authorized Official Name | MR. ZEYAD KAMEL KASSEM (CEO) |
| Authorized Official Telephone | 2488304662 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | MS | Agencies |
| Street Address |
102 N. PEARMAN AVE. STE. 1 |
| City | CLEVELAND |
| State | MS |
| Zip Code | 38732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023629219 | Marilynn Pruitt | Technician | 108 Belvedere Court, Cleveland, MS 38732 | 2020-08-12 |
| 1417322587 | United Family Life Center | Clinic/Center | 1101 S Martin Luther King Drive, Cleveland, MS 38732 | 2015-12-01 |
| 1346661584 | Rebecca Winters | Speech-Language Pathologist | 4036 Hwy 8 East, Cleveland, MS 38732 | 2013-12-13 |
| 1982973186 | Delta Home Health Inc | Home Health | 300-b South Street, Cleveland, MS 38732 | 2011-12-19 |
| 1730467382 | Reid Farmer Davis Medico | Clinic/Center | 4080 Highway 8 West, Cleveland, MS 38732 | 2011-08-01 |
| 1700181427 | Sondra Speakes Huerta | Speech-Language Pathologist | 3939 Hwy 61 N. Suite 110, Cleveland, MS 38732 | 2011-01-12 |
| 1700029675 | Jlrl, LLC | Dentist | 716 First Street, Cleveland, MS 38732 | 2009-04-08 |
| 1417194978 | Bolivar Emergency Group LLC | Physician Assistant | 901 Hwy 8 East Sunflower Rd, Cleveland, MS 38732 | 2009-01-20 |
| 1902055767 | Word of Deliverance Adult Day Care | Custodial Care Facility | 509 Davis Avenue, Cleveland, MS 38732 | 2008-09-16 |
| 1023264934 | Borders-blackwell Medical & Wellness Corporation | Clinic/Center | 321 S Sharpe Ave, Post Office Box 1998, Cleveland, MS 38732 | 2008-08-12 |
| Find all providers in zip 38732 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245761212 | Heart of Hospice LLC | Hospice Care, Community Based | 810 E Sunflower Rd Ste 100c, Cleveland, MS 38732-2828 | 2017-03-22 |
| 1134564529 | Jacarolyn Hospice & Palliative Svc | Hospice Care, Community Based | 715 Murphy St, Cleveland, MS 38732-3921 | 2013-04-30 |
| 1366795270 | Viaquest Hospice LLC | Hospice Care, Community Based | 5533 Canal Rd, Cleveland, OH 44125-4874 | 2012-10-17 |
| 1073829479 | Tricare Hospice, LLC | Hospice Care, Community Based | 25673 Highway 105 W, Cleveland, TX 77328-2973 | 2010-08-23 |
| 1578883401 | Haven Hospice & Palliative Care, LLC | Hospice Care, Community Based | 700 East Sunflower Road, Suite 9, Cleveland, MS 38732-2726 | 2010-06-02 |
| 1649592833 | Genesis Hospice Care, LLC | Hospice Care, Community Based | 700 E Sunflower Rd, Cleveland, MS 38732-2726 | 2010-02-16 |
| 1730329681 | Crossroads Hospice of Cleveland LLC | Hospice Care, Community Based | 9775 Rockside Rd, Suite 270, Cleveland, OH 44125-6274 | 2009-03-04 |
| 1770799645 | Milestone Hospice Incorporated | Hospice Care, Community Based | 212 Commerce Ave Bldg Gh, Cleveland, MS 38732-2721 | 2007-05-15 |
| 1861618787 | Prime Care Hospice, Inc. | Hospice Care, Community Based | 316 N Davis Ave, Suite C, Cleveland, MS 38732-2303 | 2007-04-18 |
| 1801955356 | New Covenant Hospice, LLC | Hospice Care, Community Based | 804 1st St, Suite 1, Cleveland, MS 38732-2310 | 2006-12-08 |
| Find all providers in CLEVELAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.