Solace Pediatric Healthcare Nursing Services, NV, LLC
Organization Active NPI Home Health Agency · Las Vegas, NV
NPI 1780101378 · NPPES record last updated Apr 17, 2024
Key facts
- NPI
- 1780101378
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- SOLACE PEDIATRIC HEALTHCARE NURSING SERVICES, NV, LLC
- 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
- Organization subpart
- No
Authorized official
- Name
- Indira Mahabir, RN
- Title
- Regional Director of Compliance
- Phone
- (954) 260-3282
Facilities with the same owner 41
Practitioners 182
-
Michael Adams, RN
-
Maria Teresa Aguilar, LPN
-
Oluyemi Akinade, RN
-
Glen Mar Alfonso, EMT, LPN
-
Mildred Austin, RN
-
Jay Bondoc, RN
-
Shaunte Boston, LPN
-
Odalys Canto, RN
Medicare Care Compare: Home health agency
- Listed as
- Care Options for Kids
- Ownership
- Proprietary
- Certified
- Jul 2, 2018
- Medicare certification status
- Active
- Services
- Nursing, Home health aide
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 29D2141370 | Care Options for Kids | Certificate of waiver | Dec 11, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NV
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
- LLC · Proprietary
- Incorporated
- Aug 23, 2017 in NV
- Enrollment address
- 250 Pilot Rd
Ste 250
Las Vegas, NV 89119-3514
All disclosed owners & managing parties 15
| Name | Role | Since | Share |
|---|---|---|---|
| Solace Healthcare Group, Inc. |
5% Or Greater Indirect Ownership Interest | Dec 23, 2021 | 100% |
| Co-Investment Portfolio 2021, LP |
5% Or Greater Indirect Ownership Interest | Dec 23, 2021 | 27.1% |
| Patrick Daly |
Corporate Officer | Aug 13, 2024 | |
| W-2 Managing Employee | Jul 1, 2023 | ||
| Mark S Bush |
Corporate Officer |
Sep 1, 2022 | |
| Solace Healthcare Holdco, Inc. |
5% Or Greater Indirect Ownership Interest | Dec 23, 2021 | 100% |
| Benjamin Mollema |
W-2 Managing Employee | Oct 23, 2023 | |
| Kimberly Michelle Hunter |
W-2 Managing Employee |
Apr 25, 2025 | |
| Diane McCullom |
Corporate Officer |
Mar 12, 2025 | |
| Solace Healthcare Holdings, LP |
5% Or Greater Indirect Ownership Interest | Dec 23, 2021 | 100% |
| International II Sif Sicaf Sa |
5% Or Greater Indirect Ownership Interest | Dec 23, 2021 | 12.9% |
| Solace Healthcare Mid-Co, Inc. |
5% Or Greater Indirect Ownership Interest | Dec 23, 2021 | 100% |
| Solace Healthcare Nevada LLC |
5% Or Greater Direct Ownership Interest | Dec 23, 2021 | 100% |
| Todd R Thiede |
Corporate Officer |
Jul 1, 2023 | |
| Webster Equity Partners V, LP |
5% Or Greater Indirect Ownership Interest | Dec 23, 2021 | 49% |
| Ericka L Roberts |
W-2 Managing Employee |
Aug 26, 2022 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180307001085 | NV | Part a Provider - Home Health Agency | 8022379031 | Practice locations: Las Vegas, NV |
National Provider Directory
Locations
250 Pilot Rd
Ste 250
Las Vegas, NV 89119
Phone (702) 982-3292
5523 S Eastern Ave
Las Vegas, NV 89119
Phone (702) 463-4050
3161 E Warm Springs Rd
Ste 400
Las Vegas, NV 89120
Phone (702) 405-9596
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
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
- Care Options for Kids
Other providers in Las Vegas, NV
- Semina B Sol
- Solace Care LLC
- Solace Medical Center Corp
- Solace Mobile IV PLLC
- Solace Nevada
- Solace Pediatric Healthcare Therapy Services Nevada, LLC
- Solace Valley Healthcare, LLC
- Crystal Dawn Solak
- Christine Solan
- Antonio Solano
All providers in Las Vegas, NV · Home Health Agency in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 17, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.