Organization Active NPI

Solamor Hospice Corporation

  • Inpatient Hospice
  • Westlake, OH
National Provider Identifier
1750340428
Registry record updated Jun 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Inpatient HospiceTaxonomy code 315D00000X
License
0107HSP Issued in OH
Legal business name
SOLAMOR HOSPICE CORPORATION
Practice address
837 Crocker Rd
Westlake, OH 44145-1028
Phone
(440) 899-7659
Fax
(440) 899-9029
NPI assigned
Mar 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2012

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

Authorized official

Name
Mrs. Shannan Reznik
Title
Office Manager
Phone
(440) 899-7659

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Inpatient Hospice 315D00000X 0107HSP OH Primary

Addresses

Primary practice location

837 Crocker Rd
Westlake, OH 44145-1028

Mailing address

837 Crocker Rd
Westlake, OH 44145-1028
Phone (440) 899-7659

Other identifiers 1

IdentifierTypeStateIssuer
0055747MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340150400000",
    "number": "1750340428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "837 CROCKER RD",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441451028",
            "telephone_number": "440-899-7659",
            "fax_number": "440-899-9029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "837 CROCKER RD",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441451028",
            "telephone_number": "440-899-7659",
            "fax_number": "440-899-9029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLAMOR HOSPICE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-21",
        "last_updated": "2012-06-20",
        "status": "A",
        "authorized_official_last_name": "REZNIK",
        "authorized_official_first_name": "SHANNAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "440-899-7659",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": "OH",
            "license": "0107HSP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0055747",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2012; 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.