Organization Active NPI

Solarus Enterprises, LLC

  • Durable Medical Equipment & Medical Supplies
  • Tampa, FL
National Provider Identifier
1073574331
Registry record updated Mar 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1312499 Issued in FL
Legal business name
SOLARUS ENTERPRISES, LLC
Practice address
10347 Cross Creek Blvd
Suite H
Tampa, FL 33647-2993
Phone
(813) 994-6688
Fax
(866) 643-9605
NPI assigned
Mar 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2019

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

Authorized official

Name
James Lee Elder Jr.
Title
Managing Director
Phone
(813) 994-6688

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1312499 FL Primary

Addresses

Primary practice location

10347 Cross Creek Blvd
Suite H
Tampa, FL 33647-2993

Mailing address

10347 Cross Creek Blvd
Suite H
Tampa, FL 33647-2993
Phone (813) 994-6688

Other identifiers 20

IdentifierTypeStateIssuer
NAOtherFLFIRST COAST ADVANTAGE
NAOtherFLHEALTHEASE IN SELECT COUNTIES
1073574331OtherFLUNITED HEALTHCARE BENESIGHT HARRINGTION
NAOtherFLSUNSHINE STATE HEALTH PLAN
NAOtherFLAETNA
R9670OtherFLBLUE CROSS BLUE SHIELD FL
1073574331OtherFLPED-I-CARE
1073574331OtherFLEVOLUTIONS HEALTHCARE SYSTEM
NAOtherFLINTEGRAL QUALITY CARE
1028538OtherFLUNITED HEALTHCARE
1073574331MedicaidFL
NAOtherFLHUMANA
NAOtherFLUMR
11141501OtherFLCITRUS HEALTHCARE
NAOtherFLCOVENTRY NATIONAL NETWORK
1073574331OtherFLUNITED HEALTHCARE GOLDEN RULE
1073574331OtherTHREE RIVERS NETWORK
NAOtherFLSTAYWELL IN SELECT COUNTIES
NAOtherFLCIGNA
NAOtherFLASSURANT HEALTH PLAN

Other names 1

  • Solarus Medical Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930033439 FL DME Supplier - Medical Supply Company 9436369725 Practice locations: Tampa, FL

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Solarus Enterprises LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7505 Glenview Dr
Ste I
Richland Hills, TX 76180
Phone (817) 590-2212

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551916800000",
    "number": "1073574331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10347 CROSS CREEK BLVD",
            "address_2": "SUITE H",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472993",
            "telephone_number": "813-994-6688",
            "fax_number": "813-994-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10347 CROSS CREEK BLVD",
            "address_2": "SUITE H",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472993",
            "telephone_number": "813-994-6688",
            "fax_number": "866-643-9605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLARUS ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-28",
        "last_updated": "2019-03-07",
        "status": "A",
        "authorized_official_last_name": "ELDER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "813-994-6688",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "1312499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST COAST ADVANTAGE",
            "identifier": "NA",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHEASE IN SELECT COUNTIES",
            "identifier": "NA",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE BENESIGHT HARRINGTION",
            "identifier": "1073574331",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUNSHINE STATE HEALTH PLAN",
            "identifier": "NA",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "NA",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD FL",
            "identifier": "R9670",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PED-I-CARE",
            "identifier": "1073574331",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVOLUTIONS HEALTHCARE SYSTEM",
            "identifier": "1073574331",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTEGRAL QUALITY CARE",
            "identifier": "NA",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1028538",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073574331",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "NA",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMR",
            "identifier": "NA",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CITRUS HEALTHCARE",
            "identifier": "11141501",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY NATIONAL NETWORK",
            "identifier": "NA",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE GOLDEN RULE",
            "identifier": "1073574331",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THREE RIVERS NETWORK",
            "identifier": "1073574331",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STAYWELL IN SELECT COUNTIES",
            "identifier": "NA",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "NA",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASSURANT HEALTH PLAN",
            "identifier": "NA",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Solarus Medical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Solarus Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.