Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SOUL4REAL
NPI 1669386603
Dietary Manager in Southfield, MI

Active since September 29, 2026
29673 NORTHWESTERN HWY, SOUTHFIELD, MI 48034(248) 629-0050 Get Directions Write a Review

NPPES record added: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Soul4real NPPES

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

SOUL4REAL (NPI 1669386603) is a healthcare organization registered as a dietary manager in Southfield, Michigan and active in the NPI registry since September 2026. The organization lists Tina L Phillips, Cfo, as its authorized official.

NPPES Registry Identity

NPI1669386603
Entity TypeOrganization
Primary Taxonomy132700000X
Legal Business NameSOUL4REAL
Location Address29673 NORTHWESTERN HWYSouthfield, MI 48034-1033
Mailing Address286 Alhambra StPontiac, MI 48341-1090 · (313) 575-6229
Organization SubpartNo
Authorized OfficialTina L PhillipsCfo · (313) 575-6229
Enumeration DateSeptember 29, 2026
NPPES CertifiedSeptember 29, 2026
✔ NPI 1669386603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietary ManagerDietary & Nutritional Service Providers
Taxonomy Code132700000X
Definition
A dietary manager is a trained food services professional who is charged with maintaining cost/profit objectives, purchasing foods and services for the department and supervising staff.. Dietary managers are trained to understand the basic nutritional needs of clients and work in partnership with dietitians, who offer specialized nutritional expertise. The CDM certified dietary manager designation is an advanced professional credential awarded to dietary managers who have completed specific course work, have passed the national credentialing exams (including a sanitation and safety exam) and have applied for certification.
29673 NORTHWESTERN HWY, Southfield, MI 48034

Other Providers at the Same Location NPPES

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

Meals
29673 NORTHWESTERN HWY
SOUTHFIELD, MI 48034

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 Soul4real's NPI number?

The NPI number for Soul4real is 1669386603. It was assigned to this organization in the NPPES registry on September 29, 2026.

Where is Soul4real located?

Soul4real is located at 29673 Northwestern Hwy, Southfield, MI 48034. The listed phone number is (248) 629-0050.

What is Soul4real's specialty?

The primary specialty registered for this NPI is Dietary Manager with taxonomy code 132700000X.

When was this NPI record last updated?

The NPPES record for Soul4real was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.