Provider Demographics
NPI:1518515287
Name:SOLARIS HC CO INC
Entity Type:Organization
Organization Name:SOLARIS HC CO INC
Other - Org Name:SOLARIS HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:LEANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:PETERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:940-627-1011
Mailing Address - Street 1:2250 S FM 51 STE 400
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:TX
Mailing Address - Zip Code:76234-3767
Mailing Address - Country:US
Mailing Address - Phone:940-627-1011
Mailing Address - Fax:940-627-3160
Practice Address - Street 1:409 N GRAND AVE
Practice Address - Street 2:
Practice Address - City:PUEBLO
Practice Address - State:CO
Practice Address - Zip Code:81003-3198
Practice Address - Country:US
Practice Address - Phone:888-376-5274
Practice Address - Fax:940-627-3160
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SOLARIS HC CO, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-08-27
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based