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SOUL STREET MEDICINE, INC.
NPI 1114755139
Respite Care in Los Angeles, CA

Active since July 22, 2024
801 W 70TH ST, LOS ANGELES, CA 90044(855) 669-1900(323) 983-4323 Get Directions Write a Review

NPPES record last updated: July 22, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Soul Street Medicine, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUL STREET MEDICINE, INC. (NPI 1114755139) is a healthcare organization registered as a respite care in Los Angeles, California and active in the NPI registry since July 2024. The organization lists Roman Rozhansky, President, as its authorized official.

NPPES Registry Identity

NPI1114755139
Entity TypeOrganization
Primary Taxonomy385H00000X
Legal Business NameSOUL STREET MEDICINE, INC.
Location Address801 W 70TH STLos Angeles, CA 90044-5218
Mailing Address145 S Fairfax Ave Ste 200Los Angeles, CA 90036-2186 · (855) 669-1900 · Fax (323) 983-4323
Phone(855) 669-1900
Fax(323) 983-4323
Organization SubpartNo
Authorized OfficialRoman RozhanskyPresident · (855) 669-1900
Enumeration DateJuly 22, 2024
NPPES CertifiedJuly 22, 2024
✔ NPI 1114755139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRespite CareRespite Care Facility
Taxonomy Code385H00000X
Also ListedNurse Practitioner · Community HealthTaxonomy 363LC1500X
801 W 70TH ST, Los Angeles, CA 90044
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YVETTE DENNIS
Case Manager/Care Coordinator
801 W 70TH ST
LOS ANGELES, CA 90044
Los Angeles County (323) 242-5000
SHYMANE CALLAHAN
Counselor (Addiction (Substance Use Disorder))
801 W 70TH ST
LOS ANGELES, CA 90044
Los Angeles County (323) 242-5000
JERRY LOUIS JACKSON JR.
Marriage & Family Therapist
801 W 70TH ST
LOS ANGELES, CA 90044
Los Angeles County (323) 242-5000
PALMS RESIDENTIAL CARE FACILITY
Clinic/Center (Rehabilitation, Substance Use Disorder)
801 W 70TH ST
LOS ANGELES, CA 90044
Los Angeles County (323) 759-0340
ELNORA DOWER
Specialist
801 W 70TH ST
LOS ANGELES, CA 90044
Los Angeles County (323) 242-5000
ANITA SMITH
Case Manager/Care Coordinator
801 W 70TH ST
LOS ANGELES, CA 90044
Los Angeles County (323) 242-5000
TRAVONNA BYERS
Marriage & Family Therapist
801 W 70TH ST
LOS ANGELES, CA 90044
Los Angeles County (323) 242-5000
RECUPERATIVE HOPE CORPORATION
Social Worker
801 W 70TH ST
LOS ANGELES, CA 90044
Los Angeles County (323) 332-2280

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Soul Street Medicine, Inc.'s NPI number?

The NPI number for Soul Street Medicine, Inc. is 1114755139. It was assigned to this organization in the NPPES registry on July 22, 2024.

Where is Soul Street Medicine, Inc. located?

Soul Street Medicine, Inc. is located at 801 W 70th St, Los Angeles, CA 90044. The listed phone number is (855) 669-1900.

What is Soul Street Medicine, Inc.'s specialty?

The primary specialty registered for this NPI is Respite Care with taxonomy code 385H00000X.

When was this NPI record last updated?

The NPPES record for Soul Street Medicine, Inc. was last updated on July 22, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.