Provider Demographics
NPI:1831931195
Name:SILVER SOULS LLC
Entity type:Organization
Organization Name:SILVER SOULS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF TRANSPORTATION
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:GINN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-530-7887
Mailing Address - Street 1:2109 BIG TREE DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43223-3279
Mailing Address - Country:US
Mailing Address - Phone:614-530-7887
Mailing Address - Fax:
Practice Address - Street 1:2109 BIG TREE DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43223-3279
Practice Address - Country:US
Practice Address - Phone:614-530-7887
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SILVER SOULS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-06-08
Last Update Date:2024-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes342000000XTransportation ServicesTransportation Network Company
No174200000XOther Service ProvidersMeals
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No261QM1102XAmbulatory Health Care FacilitiesClinic/CenterMilitary Outpatient Operational (Transportable) Component
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No344600000XTransportation ServicesTaxi
No347B00000XTransportation ServicesBus
No347C00000XTransportation ServicesPrivate Vehicle