Provider Demographics
NPI:1306884770
Name:SOLARIS HOSPICE INC
Entity type:Organization
Organization Name:SOLARIS HOSPICE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/COO
Authorized Official - Prefix:
Authorized Official - First Name:CANDICE
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAPPELL
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:940-627-1011
Mailing Address - Street 1:2250 S FM 51
Mailing Address - Street 2:SUITE 400
Mailing Address - City:DECATUR
Mailing Address - State:TX
Mailing Address - Zip Code:76234-3766
Mailing Address - Country:US
Mailing Address - Phone:940-627-1011
Mailing Address - Fax:940-627-3098
Practice Address - Street 1:2250 S FM 51
Practice Address - Street 2:SUITE 400
Practice Address - City:DECATUR
Practice Address - State:TX
Practice Address - Zip Code:76234-3766
Practice Address - Country:US
Practice Address - Phone:940-627-1011
Practice Address - Fax:940-627-3098
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-04
Last Update Date:2024-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251G00000X, 333600000X
TX007938251G00000X
TX257153336C0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0004XSuppliersPharmacyCompounding Pharmacy
Yes251G00000XAgenciesHospice Care, Community Based
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX000218800Medicaid
TX451688Medicare Oscar/Certification
TX000218800Medicaid