Active NPI
Soleo Health Inc.
- Home Infusion Therapy Pharmacy
- Mobile, AL
National Provider Identifier
1780092569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Infusion Therapy Pharmacy
- License
- 114393
- Legal business name
- SOLEO HEALTH INC.
- Practice address
- 2866 Dauphin St
Suite H
Mobile, AL 36606-2486 - Phone
- (251) 234-6074
- Fax
- (251) 272-3298
- NPI assigned
- Jul 24, 2014
- 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
- Andrew C Walk
- Title
- Ceo
- Phone
- (833) 765-3648
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X | 14393 | AL | |
| Pharmacy | 333600000X | 114393 | AL | |
| Community/Retail Pharmacy | 3336C0003X | 114393 | AL | |
| Home Infusion Therapy Pharmacy | 3336H0001X | 114393 | AL | Primary |
| Specialty Pharmacy | 3336S0011X | 114393 | AL |
Addresses
Primary practice location
2866 Dauphin St
Suite H
Mobile, AL 36606-2486
Mailing address
2801 Network Blvd Ste 505
Frisco, TX 75034-1895
Phone (603) 324-2978
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, WI
- Home infusion therapy
- Medicare-enrolled home infusion therapy supplier
Enrollment records 4
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140909001147 | AL | Part B Supplier - Pharmacy | 2365667904 | Practice locations: Mobile, AL |
| O20140916000721 | AL | DME Supplier - Pharmacy | 2365667904 | Practice locations: Mobile, AL |
| O20210111002388 | AL | Part B Supplier - Home Infusion Therapy Supplier | 2365667904 | Practice locations: Fairhope, AL; Mobile, AL |
| O20210727003647 | WI | Part B Supplier - Pharmacy | 2365667904 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Pewaukee, WI |
Other NPIs with the same Medicare PAC ID 23
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406160000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1688947200000",
"number": "1780092569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2801 NETWORK BLVD STE 505",
"city": "FRISCO",
"state": "TX",
"postal_code": "750341895",
"telephone_number": "603-324-2978",
"fax_number": "603-718-3824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2866 DAUPHIN ST",
"address_2": "SUITE H",
"city": "MOBILE",
"state": "AL",
"postal_code": "366062486",
"telephone_number": "251-234-6074",
"fax_number": "251-272-3298"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOLEO HEALTH INC.",
"organizational_subpart": "NO",
"enumeration_date": "2014-07-24",
"last_updated": "2023-07-10",
"certification_date": "2023-07-10",
"status": "A",
"authorized_official_last_name": "WALK",
"authorized_official_first_name": "ANDREW",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "833-765-3648"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "AL",
"license": "14393",
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "AL",
"license": "114393",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "AL",
"license": "114393",
"primary": false
},
{
"code": "3336H0001X",
"taxonomy_group": "",
"desc": "Pharmacy, Home Infusion Therapy Pharmacy",
"state": "AL",
"license": "114393",
"primary": true
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": "AL",
"license": "114393",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.