Organization Active NPI

Place of Solace LLC

  • Adult Care Home Facility
  • Fargo, ND
National Provider Identifier
1336043165
Registry record updated Oct 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
PLACE OF SOLACE LLC
Practice address
1629 11TH St N
Fargo, ND 58102-2217
Phone
(612) 282-5568
NPI assigned
Oct 5, 2026
Last updated
Oct 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2026

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

Authorized official

Name
Mohamed Adan Mohamed
Title
Owner
Phone
(612) 282-5568

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

1629 11TH St N
Fargo, ND 58102-2217

Mailing address

1629 11TH St N
Fargo, ND 58102-2217
Phone (612) 282-5568

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1791158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791158400000",
    "number": "1336043165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1629 11TH ST N",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581022217",
            "telephone_number": "612-282-5568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1629 11TH ST N",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581022217",
            "telephone_number": "612-282-5568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLACE OF SOLACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-05",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "ADAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-282-5568"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; 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.