Organization Active NPI

Solace Hospice & Palliative Care, Inc.

  • Community Based Hospice Care Agency
  • St Charles, IL
National Provider Identifier
1285907303
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
SOLACE HOSPICE & PALLIATIVE CARE, INC.
Practice address
40W310 Lafox Rd Unit K2
St Charles, IL 60175-6588
Phone
(847) 250-5036
Fax
(847) 250-5467
NPI assigned
Feb 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Authorized official

Name
Ms. Sharmila O Hizon
Title
Administrator
Phone
(847) 250-5036

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

40W310 Lafox Rd Unit K2
St Charles, IL 60175-6588

Mailing address

40W310 Lafox Rd Unit K2
St Charles, IL 60175-6588
Phone (847) 250-5036

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121130000385 IL Part A Provider - Hospice 6406008234 Practice locations: St Charles, IL

Hospice certification: CCN 141652

Legal name
SOLACE HOSPICE & PALLIATIVE CARE INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jul 29, 2013
Last certification
Jul 29, 2013
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Feb 10, 2012 in IL
Enrollment address
40W310 Lafox Rd
Unit K2
St Charles, IL 60175-6588

Care Compare: Hospice

Medicare Care Compare
Listed as
Solace Hospice & Palliative Care IncCCN 141652 · All quality measures
Ownership
For-Profit
Certified
Jul 29, 2013
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

650 E Devon Ave
Ste 188
Itasca, IL 60143

40W310 Lafox Rd
St Charles, IL 60175
Phone (630) 444-0077

40W310 Lafox Rd
Unit K2
St Charles, IL 60175
Phone (847) 250-5036

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Kristine Magsombol Individual W-2 Managing EmployeeAd; Sep 3, 2013 50%
Veerpal Singh Individual Contracted Managing EmployeeMD; Apr 1, 2025 10%
Sharmila Hizon Individual 5% Or Greater Direct Ownership InterestOwner Dec 19, 2022 100%
5% Or Greater Security Interest Dec 19, 2022 100%
W-2 Managing Employee Dec 19, 2022 100%
Operational/Managerial Control Dec 19, 2022 100%

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

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": "1329782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692748800000",
    "number": "1285907303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40W310 LAFOX RD UNIT K2",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601756588",
            "telephone_number": "847-250-5036",
            "fax_number": "847-250-5467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40W310 LAFOX RD UNIT K2",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601756588",
            "telephone_number": "847-250-5036",
            "fax_number": "847-250-5467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLACE HOSPICE & PALLIATIVE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-21",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A",
        "authorized_official_last_name": "HIZON",
        "authorized_official_first_name": "SHARMILA",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "847-250-5036",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Charles, IL

Sources for this page

Verify at the official NPI Registry.