Soul Street Medicine, Inc.
NPI 1114755139 · Respite Care · Los Angeles, CA
Soul Street Medicine, Inc. is a Respite Care organization in Los Angeles, CA (NPI 1114755139).
Provider details
- NPI number
- 1114755139
- Entity type
- Organization
- Primary specialty
- Respite CareRespite Care Facility
- Organization subpart
- No
- Authorized official
- Roman Rozhansky, President(855) 669-1900
Specialties & taxonomies
Respite Care Facility
- Community Health Nurse Practitioner363LC1500X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-07-22
- Last updated
- 2024-07-22
- Certified
- 2024-07-22
Frequently asked questions
- What is Soul Street Medicine, Inc.'s NPI number?
- Soul Street Medicine, Inc.'s National Provider Identifier (NPI) is 1114755139, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Soul Street Medicine, Inc.?
- Soul Street Medicine, Inc. is classified in the NPPES registry as Respite Care (Respite Care Facility).
- Where is Soul Street Medicine, Inc. located?
- Soul Street Medicine, Inc.'s practice location on file with NPPES is 801 W 70th St, Los Angeles, CA 90044-5218.
- What is Soul Street Medicine, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Soul Street Medicine, Inc. is (855) 669-1900.
- Who is the authorized official for Soul Street Medicine, Inc.?
- The authorized official listed on Soul Street Medicine, Inc.'s NPPES record is Roman Rozhansky, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Soul Street Medicine, Inc.'s NPI active?
- Yes — Soul Street Medicine, Inc.'s NPI (1114755139) is active in the NPPES registry as of the last update on 2024-07-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.