Organization Active NPI

Solaris Healthcare Palatka LLC

  • Skilled Nursing Facility
  • Palatka, FL
National Provider Identifier
1306333117
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SOLARIS HEALTHCARE PALATKA LLC
Practice address
110 Kay Larkin Dr
Palatka, FL 32177-2300
Phone
(386) 325-0173
NPI assigned
Apr 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Thomas Bell
Title
Authorized Representative
Phone
(407) 694-8095

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

110 Kay Larkin Dr
Palatka, FL 32177-2300

Mailing address

PO Box 110881
Naples, FL 34108-0115
Phone (239) 206-8187

Other names 2

  • Solaris HealthCare Doing business as
  • Solaris HealthCare Palatka Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1306333117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110881",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341080115",
            "telephone_number": "239-206-8187",
            "fax_number": "866-393-8853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 KAY LARKIN DR",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321772300",
            "telephone_number": "386-325-0173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLARIS HEALTHCARE PALATKA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-17",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "407-694-8095"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Solaris HealthCare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Solaris HealthCare Palatka",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palatka, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.