Solace Hospice Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

231 Issued in MS

Legal business name

SOLACE HOSPICE INC

Practice address

215 Highway 26 E
Poplarville, MS 39470-3109

Phone

(601) 403-9822

Fax

(601) 403-9823

NPI assigned

Jul 12, 2017

Last updated

Jul 12, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Carley Wayne Davis Jr.

Title

Ceo

Phone

(601) 403-9822

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Arden of South Mississippi, LLC

  dba Arden of South Mississippi-Poplarville

  • Community Based Hospice Care Agency
  • Poplarville, MS
  • NPI 1982388377

  Sold to, 2023-06-01

  CMS change of ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michaela Cheyenne Wells, NP-C

  • Family Nurse Practitioner
  • Gulfport, MS
  • NPI 1386269629
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499817600000",
    "number": "1023530904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 918",
            "city": "POPLARVILLE",
            "state": "MS",
            "postal_code": "394700918",
            "telephone_number": "601-403-9822",
            "fax_number": "601-403-9823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 HIGHWAY 26 E",
            "city": "POPLARVILLE",
            "state": "MS",
            "postal_code": "394703109",
            "telephone_number": "601-403-9822",
            "fax_number": "601-403-9823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLACE HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-12",
        "last_updated": "2017-07-12",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "CARLEY",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "601-403-9822",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MS",
            "license": "231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Sheppard
• Charles Nathan Smith, PHARMD.
• Dustin G. Smith, DMD
• Laken Smith, MS, CFY-SLP
• Mandy Williams Smith, PT
• South Mississippi Dental Sleep Medicine, PLLC
• Franklin David Southern-Bruno, LMSW
• Lindsey La'Ray Steele, LPTA
• Stone County Hospital, Inc.
• Amber Rikia Tillman

• Community Based Hospice Care Agency in Poplarville, MS
• Providers in Poplarville, MS by specialty
• Community Based Hospice Care Agency in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.