Organization Active NPI

Solace Healthcare Solutions, LLC

  • Home Health Agency
  • Boston, MA
National Provider Identifier
1164985487
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SOLACE HEALTHCARE SOLUTIONS, LLC
Practice address
16 Greendale Rd Unit 2
Boston, MA 02126-1530
Phone
(781) 266-8960
NPI assigned
Apr 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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

Authorized official

Name
David Petit-FrereNPI 1295202471
Title
Managing Director
Phone
(781) 266-8960

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Home Health AideGroup: 193200000X MULTI-SPECIALTY GROUP 374U00000X

Addresses

Primary practice location

16 Greendale Rd Unit 2
Boston, MA 02126-1530

Mailing address

16 Greendale Rd Unit 2
Boston, MA 02126-1530
Phone (781) 266-8960

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190912000562 MA Part A Provider - Home Health Agency 2264761576 Practice locations: Boston, MA

Home health agency certification: CCN 227747

Legal name
SOLACE HEALTHCARE SOLUTIONS LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 5, 2021
Last certification
Apr 5, 2021
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Nov 22, 2018 in MA
Enrollment address
16 Greendale Road, Unit 2
Boston, MA 02126-1650

Care Compare: Home health agency

Medicare Care Compare
Listed as
Solace Healthcare Solutions, LLCCCN 227747
Ownership
Proprietary
Certified
Apr 5, 2021
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D2176701Solace Healthcare Solutions, LLC16 Greendale Rd, Boston, MA 02126Certificate of waiverDec 19, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
David Petit-Frere Individual 5% Or Greater Direct Ownership Interest Nov 22, 2018 100%
W-2 Managing Employee Nov 22, 2018

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1555027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644278400000",
    "number": "1164985487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 GREENDALE RD UNIT 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021261530",
            "telephone_number": "781-266-8960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 GREENDALE RD UNIT 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021261530",
            "telephone_number": "781-266-8960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLACE HEALTHCARE SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-12",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A",
        "authorized_official_last_name": "PETIT-FRERE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "781-266-8960"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.