NPIMap

Organization Active NPI

Soleo Health Inc.

  • Home Infusion Therapy Pharmacy
  • Woodridge, IL
National Provider Identifier
1295130383
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
License
054018773 Issued in IL
Legal business name
SOLEO HEALTH INC.
Practice address
10210 Werch Dr Ste 202
Woodridge, IL 60517-4814
Phone
(630) 478-8240
NPI assigned
Oct 31, 2014
Last updated
Jul 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Authorized official

Name
Andrew C Walk
Title
Ceo
Phone
(833) 765-3648

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 054018773 IL
Pharmacy 333600000X 054018773 IL
Community/Retail Pharmacy 3336C0003X 054018773 IL
Home Infusion Therapy Pharmacy 3336H0001X 054018773 IL Primary
Specialty Pharmacy 3336S0011X 054018773 IL

Addresses

Primary practice location

10210 Werch Dr Ste 202
Woodridge, IL 60517-4814

Mailing address

2801 Network Blvd Ste 505
Frisco, TX 75034-1895
Phone (603) 324-2978

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL3 enrollments
Home infusion therapy
Medicare-enrolled home infusion therapy supplier

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20141114001508 IL Part B Supplier - Pharmacy 2365667904 Practice locations: Woodridge, IL
O20150102000604 IL DME Supplier - Pharmacy 2365667904 Practice locations: Woodridge, IL
O20210104000311 IL Part B Supplier - Home Infusion Therapy Supplier 2365667904 Practice locations: Woodridge, IL

Other NPIs with the same Medicare PAC ID 23

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 23

National Provider Directory

National Provider Directory
Tax ID family
Soleo Health Inc Orl40 organizations share this tax ID, including this one

Other organizations with this tax ID 39

Organizations that report the same tax identification number in the National Provider Directory.

View all 39

Locations

655 W Grand Ave
Ste 240
Elmhurst, IL 60126
Phone (630) 749-2771

NPI Registry JSON

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

{
    "created_epoch": "1414713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688947200000",
    "number": "1295130383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 NETWORK BLVD STE 505",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750341895",
            "telephone_number": "603-324-2978",
            "fax_number": "603-718-3824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10210 WERCH DR STE 202",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605174814",
            "telephone_number": "630-478-8240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLEO HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-31",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A",
        "authorized_official_last_name": "WALK",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "833-765-3648"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "054018773",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IL",
            "license": "054018773",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054018773",
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "IL",
            "license": "054018773",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "IL",
            "license": "054018773",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.