Organization Active NPI

Solace Private Duty Inc.

  • Home Health Agency
  • Southfield, MI
National Provider Identifier
1548951015
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SOLACE PRIVATE DUTY INC.
Practice address
19315 W 10 Mile Rd
Southfield, MI 48075-6596
Phone
(248) 766-2746
NPI assigned
May 16, 2023
Last updated
May 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2023

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

Authorized official

Name
Kau Gofan
Title
Ceo
Phone
(248) 606-7233

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

19315 W 10 Mile Rd
Southfield, MI 48075-6596

Mailing address

PO Box 2284
Southfield, MI 48037-2284
Phone (248) 766-2746

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1684195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684368000000",
    "number": "1548951015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2284",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480372284",
            "telephone_number": "248-766-2746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19315 W 10 MILE RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480756596",
            "telephone_number": "248-766-2746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLACE PRIVATE DUTY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-16",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A",
        "authorized_official_last_name": "GOFAN",
        "authorized_official_first_name": "KAU",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-606-7233"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; 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.