Organization Active NPI

Solace Healthcare, Inc.

Doing business as Solace Hospice Care

  • Community Based Hospice Care Agency
  • Bakersfield, CA
National Provider Identifier
1871101758
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
SOLACE HEALTHCARE, INC.
Doing business as
Solace Hospice Care
Practice address
1701 Westwind Dr Ste 121
Bakersfield, CA 93301-3046
Phone
(661) 843-7787
NPI assigned
Jul 16, 2020
Last updated
Oct 1, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2020

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

Authorized official

Name
Samay Attaie
Title
President
Phone
(661) 843-7787

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X NU Primary

Addresses

Primary practice location

1701 Westwind Dr Ste 121
Bakersfield, CA 93301-3046

Mailing address

1701 Westwind Dr Ste 121
Bakersfield, CA 93301-3046
Phone (661) 843-7787

Other names 1

  • Solace Hospice Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200826000970 CA Part A Provider - Hospice 9638596315 Practice locations: Bakersfield, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1871101758. Details of each certification follow.

Hospice certification: CCN B21611

Legal name
SOLACE HEALTHCARE INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jul 19, 2021
Last certification
Jul 19, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Jun 17, 2020 in CA
Enrollment address
1701 Westwind Dr
Ste 121
Bakersfield, CA 93301-3046

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
Solace Hospice Care IncCCN B21611 · All quality measures
Ownership
For-Profit
Certified
Jul 19, 2021
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Solace Healthcare Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1701 Westwind Dr
Ste 121
Bakersfield, CA 93301
Phone (661) 319-8972

1701 Westwind Dr
Ste 122
Bakersfield, CA 93301
Phone (661) 800-1894

3955 Coffee Rd
Ste 141
Bakersfield, CA 93308

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Prabhjot K Randhawa Individual 5% Or Greater Direct Ownership InterestOwner Aug 3, 2020 25%
Corporate DirectorBoard Member Aug 3, 2020 25%
Naeem Wahab Individual 5% Or Greater Direct Ownership InterestOwner Aug 3, 2020 25%
Corporate OfficerTreasurer Aug 3, 2020 30%
Corporate DirectorBoard Member Aug 3, 2020 25%
Harpreet K Dhillon Individual 5% Or Greater Direct Ownership InterestOwner Aug 3, 2020 25%
Corporate OfficerAdministrator/Secretary Aug 3, 2020 30%
Corporate DirectorBoard Member Aug 3, 2020 25%
W-2 Managing EmployeeAdministrator Aug 3, 2020 100%
Operational/Managerial ControlAdministrator Aug 3, 2020 100%
Samay Attaie Individual 5% Or Greater Direct Ownership InterestPresident/Governing Boady Member Aug 3, 2020 100%
Corporate OfficerPresident Aug 3, 2020 40%
Corporate DirectorBoard Member Aug 3, 2020 25%
W-2 Managing EmployeePresident/Governing Body Member/ Aug 3, 2020 50%
Operational/Managerial ControlGoverning Body Member Aug 3, 2020 50%

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

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.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1594857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601510400000",
    "number": "1871101758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 WESTWIND DR STE 121",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933013046",
            "telephone_number": "661-843-7787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 WESTWIND DR STE 121",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933013046",
            "telephone_number": "661-843-7787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLACE HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-16",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A",
        "authorized_official_last_name": "ATTAIE",
        "authorized_official_first_name": "SAMAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-843-7787"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Solace Hospice Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Solace Hospice Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.