Organization Active NPI

Solterra Hospice Corporation

  • Community Based Hospice Care Agency
  • Salem, OR
National Provider Identifier
1124840988
Registry record updated Dec 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
SOLTERRA HOSPICE CORPORATION
Practice address
3000 Market St NE Ste 268
Salem, OR 97301-1809
Phone
(971) 443-5037
Fax
(503) 523-0633
NPI assigned
Oct 31, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2024

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

Authorized official

Name
Christie Rivelli, FNPNPI 1114231420
Title
Administrator
Phone
(971) 340-3565

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
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

3000 Market St NE Ste 268
Salem, OR 97301-1809

Mailing address

3000 Market St NE Ste 268
Salem, OR 97301-1809
Phone (971) 443-5037

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250226001882 OR Part A Provider - Hospice 5698295277 Practice locations: Salem, OR

Hospice certification: CCN 381590

Legal name
SOLTERRA HOSPICE CORPORATION
Certification status
Active
Provider type (POS)
Hospice
Participating since
Mar 24, 2025
Last certification
Mar 13, 2025
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Enrollment address
3000 Market St NE
Ste 268
Salem, OR 97301-1809

Care Compare: Hospice

Medicare Care Compare
Listed as
Solterra Hospice CorporationCCN 381590
Certified
Mar 24, 2025
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
John Vaughn Individual 5% Or Greater Direct Ownership InterestOwner and Staff Support Specialist Nov 4, 2024 50%
Corporate OfficerSecretary Nov 4, 2024 25%
Linda Eilersen Individual 5% Or Greater Direct Ownership InterestOwner and Staff Support Specialist Nov 4, 2024 50%
Corporate OfficerPresident Nov 4, 2024 25%
Christie M Rivelli Individual Corporate OfficerVice President Nov 4, 2024 25%
W-2 Managing EmployeeAd;Nurse Practitioner Nov 4, 2024 50%
Christopher R Eilersen Individual Contracted Managing EmployeeMD; Nov 4, 2024 50%
Corporate OfficerTreasurer Nov 4, 2024 25%

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 2

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

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1730332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733616000000",
    "number": "1124840988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 MARKET ST NE STE 268",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973011809",
            "telephone_number": "971-443-5037",
            "fax_number": "503-523-0633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 MARKET ST NE STE 268",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973011809",
            "telephone_number": "971-443-5037",
            "fax_number": "503-523-0633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLTERRA HOSPICE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-31",
        "last_updated": "2024-12-08",
        "certification_date": "2024-12-08",
        "status": "A",
        "authorized_official_last_name": "RIVELLI",
        "authorized_official_first_name": "CHRISTIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "971-340-3565",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.