NPIMap

Organization Active NPI

Solace Hospice Care LLC

  • Community Based Hospice Care Agency
  • Manchester, MO
National Provider Identifier
1902361504
Registry record updated Feb 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
SOLACE HOSPICE CARE LLC
Practice address
14010 Manchester Rd
Manchester, MO 63011-4514
Phone
(636) 220-4050
Fax
(636) 220-9266
NPI assigned
Feb 7, 2019
Last updated
Feb 7, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2019

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

Authorized official

Name
Mrs. Lauren Marie Hadfield
Title
Owner/Administrator
Phone
(816) 582-4320

Specialties & licenses 1

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

Addresses

Primary practice location

14010 Manchester Rd
Manchester, MO 63011-4514

Mailing address

14010 Manchester Rd
Manchester, MO 63011-4514
Phone (636) 220-4050

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190315001341 MO Part A Provider - Hospice 0840530549 Practice locations: O Fallon, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1902361504. Details of each certification follow.

Hospice certification: CCN 261679

Legal name
SOLACE HOSPICE CARE LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jul 16, 2019
Last certification
Jul 16, 2019
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Nov 2, 2018 in MO
Enrollment address
2300 Technology Dr
O Fallon, MO 63368-7279

Care Compare: Hospice

Medicare Care Compare
Listed as
Solace Hospice Care, LLCCCN 261679 · All quality measures
Ownership
For-Profit
Certified
Jul 16, 2019
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

14010 Manchester Rd
Manchester, MO 63011
Phone (636) 220-4050

2300 Technology Dr
O Fallon, MO 63368
Phone (636) 220-4050

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Rochelle a Cox Individual Contracted Managing EmployeeMD; Jan 1, 2024
Lauren Hadfield Individual 5% Or Greater Direct Ownership InterestAdministrator/ Owner Dec 28, 2018 55%
W-2 Managing EmployeeAdministrator Dec 28, 2018
Julie Vermilye Individual 5% Or Greater Direct Ownership InterestPatient Care/Owner Dec 28, 2018 45%
W-2 Managing EmployeeDirector of Nursing Dec 28, 2018

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

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

Affiliated clinicians 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1549497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549497600000",
    "number": "1902361504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14010 MANCHESTER RD",
            "city": "MANCHESTER",
            "state": "MO",
            "postal_code": "630114514",
            "telephone_number": "636-220-4050",
            "fax_number": "636-220-9266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14010 MANCHESTER RD",
            "city": "MANCHESTER",
            "state": "MO",
            "postal_code": "630114514",
            "telephone_number": "636-220-4050",
            "fax_number": "636-220-9266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLACE HOSPICE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-07",
        "last_updated": "2019-02-07",
        "status": "A",
        "authorized_official_last_name": "HADFIELD",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "816-582-4320",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, MO

Sources for this page

Verify at the official NPI Registry.