Active NPI
Solarus Enterprises, LLC
- Durable Medical Equipment & Medical Supplies
- Tampa, FL
National Provider Identifier
1073574331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 1312499
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NA | Other | FL | FIRST COAST ADVANTAGE |
| NA | Other | FL | HEALTHEASE IN SELECT COUNTIES |
| 1073574331 | Other | FL | UNITED HEALTHCARE BENESIGHT HARRINGTION |
| NA | Other | FL | SUNSHINE STATE HEALTH PLAN |
| NA | Other | FL | AETNA |
| R9670 | Other | FL | BLUE CROSS BLUE SHIELD FL |
| 1073574331 | Other | FL | PED-I-CARE |
| 1073574331 | Other | FL | EVOLUTIONS HEALTHCARE SYSTEM |
| NA | Other | FL | INTEGRAL QUALITY CARE |
| 1028538 | Other | FL | UNITED HEALTHCARE |
| 1073574331 | Medicaid | FL | |
| NA | Other | FL | HUMANA |
| NA | Other | FL | UMR |
| 11141501 | Other | FL | CITRUS HEALTHCARE |
| NA | Other | FL | COVENTRY NATIONAL NETWORK |
| 1073574331 | Other | FL | UNITED HEALTHCARE GOLDEN RULE |
| 1073574331 | Other | THREE RIVERS NETWORK | |
| NA | Other | FL | STAYWELL IN SELECT COUNTIES |
| NA | Other | FL | CIGNA |
| NA | Other | FL | ASSURANT HEALTH PLAN |
Other names 1
- Solarus Medical
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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).
-
- Durable Medical Equipment & Medical Supplies
- Dallas, TX
- NPI 1609193192
9436369725
National Provider Directory
National Provider Directory- Tax ID family
- Solarus Enterprises LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Dallas, TX
- NPI 1609193192
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.