NPIMap

Organization Active NPI

Solace Pediatric Healthcare Nursing Services, NV, LLC

Doing business as Care Options for Kids

  • Home Health Agency
  • Las Vegas, NV
National Provider Identifier
1780101378
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SOLACE PEDIATRIC HEALTHCARE NURSING SERVICES, NV, LLC
Doing business as
Care Options for Kids
Practice address
250 Pilot Rd Ste 250
Las Vegas, NV 89119-3514
Phone
(702) 982-3292
Fax
(702) 982-5286
NPI assigned
Aug 24, 2017
Last updated
Apr 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Authorized official

Name
Indira Mahabir, RN
Title
Regional Director of Compliance
Phone
(954) 260-3282

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

250 Pilot Rd Ste 250
Las Vegas, NV 89119-3514

Mailing address

250 Pilot Rd Ste 250
Las Vegas, NV 89119-3514
Phone (702) 982-3292

Other names 1

  • Care Options for Kids Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180307001085 NV Part A Provider - Home Health Agency 8022379031 Practice locations: Las Vegas, NV

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1780101378. Details of each certification follow.

Home health agency certification: CCN 297237

Legal name
SOLACE PEDIATRIC HEALTHCARE NURSING SERVICES NV LLC
Doing business as
CARE OPTIONS FOR KIDS
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 2, 2018
Last certification
Jul 2, 2018
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Aug 23, 2017 in NV
Enrollment address
250 Pilot Rd
Ste 250
Las Vegas, NV 89119-3514

Care Compare: Home health agency

Medicare Care Compare
Listed as
Care Options for KidsCCN 297237 · All quality measures
Ownership
Proprietary
Certified
Jul 2, 2018
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
29D2141370Care Options for Kids250 Pilot Rd Ste 250, Las Vegas, NV 89119Certificate of waiverDec 11, 2027

National Provider Directory

National Provider Directory

Locations

250 Pilot Rd
Ste 250
Las Vegas, NV 89119
Phone (702) 982-3292

Ownership & related parties

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Solace Healthcare Group, Inc. Organization, Waltham, MA Corporation 5% Or Greater Indirect Ownership Interest Dec 23, 2021 100%
Co-Investment Portfolio 2021, LP Organization, San Francisco, CA 5% Or Greater Indirect Ownership Interest Dec 23, 2021 27.1%
Patrick Daly Individual Corporate Officer Aug 13, 2024
W-2 Managing Employee Jul 1, 2023
Mark S Bush Individual Corporate OfficerCeo Sep 1, 2022
Solace Healthcare Holdco, Inc. Organization, Waltham, MA Corporation 5% Or Greater Indirect Ownership Interest Dec 23, 2021 100%
Benjamin Mollema Individual W-2 Managing Employee Oct 23, 2023
Kimberly Michelle Hunter Individual W-2 Managing EmployeeDirector of Contract Development Apr 25, 2025
Diane McCullom Individual Corporate OfficerChief Clinical Officer Mar 12, 2025
Solace Healthcare Holdings, LP Organization, Waltham, MA 5% Or Greater Indirect Ownership Interest Dec 23, 2021 100%
International II Sif Sicaf Sa Organization, Luxembourg Corporation 5% Or Greater Indirect Ownership Interest Dec 23, 2021 12.9%
Solace Healthcare Mid-Co, Inc. Organization, Waltham, MA Corporation 5% Or Greater Indirect Ownership Interest Dec 23, 2021 100%
Solace Healthcare Nevada LLC Organization, Waltham, MA Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Dec 23, 2021 100%
Todd R Thiede Individual Corporate OfficerCfo Jul 1, 2023
Webster Equity Partners V, LP Organization, Waltham, MA 5% Or Greater Indirect Ownership Interest Dec 23, 2021 49%
Ericka L Roberts Individual W-2 Managing EmployeeClinical Supervisor Aug 26, 2022

Facilities with the same owner 41

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 41

Practitioners & affiliated clinicians

Practitioners 187

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 187

NPI Registry JSON

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

{
    "created_epoch": "1503532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713312000000",
    "number": "1780101378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 PILOT RD STE 250",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891193514",
            "telephone_number": "702-982-3292",
            "fax_number": "702-982-5286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 PILOT RD STE 250",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891193514",
            "telephone_number": "702-982-3292",
            "fax_number": "702-982-5286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLACE PEDIATRIC HEALTHCARE NURSING SERVICES, NV, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-24",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A",
        "authorized_official_last_name": "MAHABIR",
        "authorized_official_first_name": "INDIRA",
        "authorized_official_title_or_position": "REGIONAL DIRECTOR OF COMPLIANCE",
        "authorized_official_telephone_number": "954-260-3282",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Care Options for Kids",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.