Organization Active NPI

Solace Home Care, LLC

  • Home Health Agency
  • San Antonio, TX
National Provider Identifier
1114161288
Registry record updated Oct 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
159535 Issued in TX
Legal business name
SOLACE HOME CARE, LLC
Practice address
4503 Safe HBR
San Antonio, TX 78244-3507
Phone
(210) 310-1965
Fax
(210) 666-1964
NPI assigned
Apr 20, 2009
Last updated
Oct 6, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2009

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

Authorized official

Name
Ms. Tracy Vaughn Polk, LICENSED NURSE
Title
Owner
Phone
(210) 310-1965

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 159535 TX Primary

Addresses

Primary practice location

4503 Safe HBR
San Antonio, TX 78244-3507

Mailing address

4503 Safe HBR
San Antonio, TX 78244-3507
Phone (210) 310-1965

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1240185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254787200000",
    "number": "1114161288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4503 SAFE HBR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782443507",
            "telephone_number": "210-310-1965",
            "fax_number": "210-666-1964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4503 SAFE HBR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782443507",
            "telephone_number": "210-310-1965",
            "fax_number": "210-666-1964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLACE HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-20",
        "last_updated": "2009-10-06",
        "status": "A",
        "authorized_official_last_name": "POLK",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "VAUGHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-310-1965",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LICENSED NURSE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "159535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2009; 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.