Organization Active NPI

Solace Home Health and Hospice Care Inc

  • Home Health Agency
  • Champlin, MN
National Provider Identifier
1053604306
Registry record updated May 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SOLACE HOME HEALTH AND HOSPICE CARE INC
Practice address
11209 Commerce Dr N
Champlin, MN 55316-3122
Phone
(763) 323-6564
NPI assigned
May 19, 2011
Organization subpart
No

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Locations

11209 Commerce Dr N
Champlin, MN 55316
Phone (763) 323-6564

NPPES NPI Registry

Updated by the provider on May 19, 2011

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

Authorized official

Name
Dr. Mohammed Imteyaz Hussain, M.D.NPI 1770557225
Title
President
Phone
(763) 323-6564

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

11209 Commerce Dr N
Champlin, MN 55316-3122

Mailing address

11209 Commerce Dr N
Champlin, MN 55316-3122
Phone (763) 323-6564

NPI Registry JSON

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

{
    "created_epoch": "1305763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305763200000",
    "number": "1053604306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11209 COMMERCE DR N",
            "city": "CHAMPLIN",
            "state": "MN",
            "postal_code": "553163122",
            "telephone_number": "763-323-6564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11209 COMMERCE DR N",
            "city": "CHAMPLIN",
            "state": "MN",
            "postal_code": "553163122",
            "telephone_number": "763-323-6564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLACE HOME HEALTH AND HOSPICE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-19",
        "last_updated": "2011-05-19",
        "status": "A",
        "authorized_official_last_name": "HUSSAIN",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_middle_name": "IMTEYAZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-323-6564",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Champlin, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.