Solace Nutrition, LLC

Primary specialty

Medical Foods SupplierTaxonomy code 335G00000X

Legal business name

SOLACE NUTRITION, LLC

Practice address

10 Alice CT
Pawcatuck, CT 06379-1383

Phone

(888) 876-5223

Fax

(401) 633-6066

NPI assigned

Dec 12, 2016

Last updated

Dec 12, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thomas Clough

Title

Director

Phone

(401) 497-7954

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1481500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481500800000",
    "number": "1407390388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 ALICE CT",
            "city": "PAWCATUCK",
            "state": "CT",
            "postal_code": "063791383",
            "telephone_number": "888-876-5223",
            "fax_number": "401-633-6066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 ALICE CT",
            "city": "PAWCATUCK",
            "state": "CT",
            "postal_code": "063791383",
            "telephone_number": "888-876-5223",
            "fax_number": "401-633-6066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLACE NUTRITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-12",
        "last_updated": "2016-12-12",
        "status": "A",
        "authorized_official_last_name": "CLOUGH",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "401-497-7954"
    },
    "taxonomies": [
        {
            "code": "335G00000X",
            "taxonomy_group": "",
            "desc": "Medical Foods Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Scott
• SE Counseling Associates LTD
• Shaune Martin Therapy
• David Sisto
• Arianna Skelcher, LMSW
• South County Artificial Limb Co., Inc.
• Southeast Counseling Associates, LTD
• Southeast Counseling Associates, LTD.
• Southeast Counseling Associates,LTD.
• Stephania Sciamano, ND, LLC

• Medical Foods Supplier in Pawcatuck, CT
• Providers in Pawcatuck, CT by specialty
• Medical Foods Supplier in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; 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.