Organization Active NPI

Soleo Health Inc.

  • Home Infusion Therapy Pharmacy
  • Mobile, AL
National Provider Identifier
1780092569
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
License
114393 Issued in AL
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

Updated by the provider on Jul 10, 2023

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)CodeLicenseStatePrimary
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, WI4 enrollments
Home infusion therapy
Medicare-enrolled home infusion therapy supplier

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
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).

View all 23

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 Directory

NPI 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.

Verify at the official NPI Registry.