Active NPI
Solamor Hospice Corporation
- Inpatient Hospice
- Westlake, OH
National Provider Identifier
1750340428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Inpatient Hospice
- License
- 0107HSP
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0055747 | Medicaid | OH |
National Provider Directory
National Provider DirectoryNPI 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.