NPIMap

Organization Active NPI

Solace Medical, LLC

  • Oxygen Equipment & Supplies (DME)
  • Port Allen, LA
National Provider Identifier
1205997806
Registry record updated Oct 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
17-0011509 Issued in LA
Legal business name
SOLACE MEDICAL, LLC
Practice address
1100 Commercial Dr
Port Allen, LA 70767-3224
Phone
(225) 906-1594
Fax
(225) 749-8943
NPI assigned
Dec 13, 2006
Last updated
Oct 19, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2012

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

Authorized official

Name
Mr. Mark Borneleit
Title
Serving Executive Officer Owner
Phone
(225) 906-1594

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X 17-0011509 LA Primary

Addresses

Primary practice location

1100 Commercial Dr
Port Allen, LA 70767-3224

Mailing address

1100 Commercial Dr
Port Allen, LA 70767-3224
Phone (225) 906-1594

National Provider Directory

National Provider Directory

Locations

1100 Commercial Dr
Port Allen, LA 70767
Phone (225) 906-1594

1913 Westshore Ave
Ste B
Port Allen, LA 70767
Phone (225) 906-1594

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350604800000",
    "number": "1205997806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 COMMERCIAL DR",
            "city": "PORT ALLEN",
            "state": "LA",
            "postal_code": "707673224",
            "telephone_number": "225-906-1594",
            "fax_number": "225-749-8943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 COMMERCIAL DR",
            "city": "PORT ALLEN",
            "state": "LA",
            "postal_code": "707673224",
            "telephone_number": "225-906-1594",
            "fax_number": "225-749-8943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLACE MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2012-10-19",
        "status": "A",
        "authorized_official_last_name": "BORNELEIT",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "SERVING EXECUTIVE OFFICER OWNER",
        "authorized_official_telephone_number": "225-906-1594",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "LA",
            "license": "17-0011509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Allen, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; 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.