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SOUL PROVIDER LLC
NPI 1881100774
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Sparks, NV

Active since December 14, 2017
3646 CAYMUS DR, SPARKS, NV 89436(775) 470-9718 Get Directions Write a Review

NPPES record last updated: April 23, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 23, 2018, Dec 14, 2017 (2 updates tracked since 2017).

About Soul Provider Llc NPPES

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

SOUL PROVIDER LLC (NPI 1881100774) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Sparks, Nevada and active in the NPI registry since December 2017. The organization lists Kattie Smith, Owner, as its authorized official.

NPPES Registry Identity

NPI1881100774
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameSOUL PROVIDER LLC
Location Address3646 CAYMUS DRSparks, NV 89436-7133
Mailing Address3646 Caymus DrSparks, NV 89436-7133 · (775) 470-9718
Phone(775) 470-9718
Organization SubpartNo
Authorized OfficialKattie SmithOwner · (775) 470-9718
Enumeration DateDecember 14, 2017
Last NPPES UpdateApril 23, 20182 updates tracked since enumeration
✔ NPI 1881100774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

3646 CAYMUS DR, Sparks, NV 89436
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Other Providers at the Same Location NPPES

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

SUPERIOR CARE LLC
Marriage & Family Therapist
3646 CAYMUS DR
SPARKS, NV 89436
Washoe County (775) 287-5508

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 Provider LLC's NPI number?

The NPI number for Soul Provider LLC is 1881100774. It was assigned to this organization in the NPPES registry on December 14, 2017.

Where is Soul Provider LLC located?

Soul Provider LLC is located at 3646 Caymus Dr, Sparks, NV 89436. The listed phone number is (775) 470-9718.

What is Soul Provider LLC's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Soul Provider LLC was last updated on April 23, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.