Solace Hospice, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

SOLACE HOSPICE, LLC

Practice address

280 Commercial St
Roanoke, IN 46783-1045

Phone

(260) 600-9912

NPI assigned

Mar 12, 2024

Organization subpart

No

Name

Amanda Bunn, MBA, MSN, RN, CHPN

Title

President/Administrator

Phone

(260) 452-9261

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Eamonn M Keane, MD

  • Family Medicine Physician
  • Peru, IN
  • NPI 1750558136

  Hospice

  Care Compare affiliation
• Alexander P Mathai, M.D.

  • Internal Medicine Physician
  • Fort Wayne, IN
  • NPI 1104856608

  Hospice

  Care Compare affiliation
• Andrew Joseph Offerle, M.D.

  • Emergency Medicine Physician
  • Fort Wayne, IN
  • NPI 1598785149

  Hospice

  Care Compare affiliation
• Lloyd Williams III, M.D.

  • Family Medicine Physician
  • Markle, IN
  • NPI 1871565531

  Hospice

  Care Compare affiliation

Listed as

Solace Hospice LLCCCN 151662

Certified

Nov 6, 2024

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Legal name

SOLACE HOSPICE, LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Nov 6, 2024

Last certification

Oct 18, 2024

Ownership / control type

Proprietary - Corporation

Organization structure

LLCProprietary

Enrollment address

280 Commercial St
Roanoke, IN 46783-1045

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

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 12, 2024.

{
    "created_epoch": "1710201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710201600000",
    "number": "1366200511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 490",
            "city": "ROANOKE",
            "state": "IN",
            "postal_code": "467830490",
            "telephone_number": "260-452-9261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 COMMERCIAL ST",
            "city": "ROANOKE",
            "state": "IN",
            "postal_code": "467831045",
            "telephone_number": "260-600-9912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLACE HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-12",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A",
        "authorized_official_last_name": "BUNN",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "PRESIDENT/ADMINISTRATOR",
        "authorized_official_telephone_number": "260-452-9261",
        "authorized_official_credential": "MBA, MSN, RN, CHPN"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Otp Services, LLC
• Ruth M Poppele, NURSE PRACTITIONER
• Megan Marie Salzmann
• Malinda K Shelley, NP
• Michael Rocco Shroads, M.D.
• Denise Shannon Spikes, DOULA, LC
• Joel Jose C Valcarcel, MD
• Christi Ann Wallace, MD
• Amy H Welker, M.D.
• Jeffrey L Witt, MD

• All providers in Roanoke, IN
• Community Based Hospice Care Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.