Provider Demographics
NPI:1043020654
Name:SOULFUL ARRIVAL LLC
Entity type:Organization
Organization Name:SOULFUL ARRIVAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JANELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:AMADOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-710-2979
Mailing Address - Street 1:1564 TAYLOR AVE APT 2F
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10460-3370
Mailing Address - Country:US
Mailing Address - Phone:917-710-2979
Mailing Address - Fax:929-777-9771
Practice Address - Street 1:1564 TAYLOR AVE APT 2F
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10460-3370
Practice Address - Country:US
Practice Address - Phone:917-710-2979
Practice Address - Fax:929-777-9771
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-08
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty