| NPI | 1114167111 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2009-03-03 |
| Last Updated | 2025-10-14 |
| Authorized Official | Wendy Russalesi CCO Phone: 4842469499 |
| Mailing Address | 555 E North Ln Ste 5075 Conshohocken, PA 19428-2490 United States 📍 View Map |
| Primary Practice Address | 1401 Vermont St Ste 115 Detroit, MI 48216-2402 United States Phone: (888) 688-1455 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 332B00000X – Durable Medical Equipment & Medical Supplies | — | — |
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About NPI 1114167111
Solara Medical Supplies, Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1114167111. The primary specialty listed is Durable Medical Equipment & Medical Supplies. The organization is located in Detroit, MI. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2009-03-03. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1114167111?
NPI 1114167111 belongs to Solara Medical Supplies, Llc, a Durable Medical Equipment & Medical Supplies in Detroit, MI. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1114167111 active?
The current status of NPI 1114167111 in the NPPES registry is Active. The record was last updated on 2025-10-14.
What specialty is NPI 1114167111?
NPI 1114167111 is classified under the taxonomy Durable Medical Equipment & Medical Supplies. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1114167111?
You can verify NPI 1114167111 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1114167111?
The primary practice address on file for NPI 1114167111 is 1401 Vermont St Ste 115, Detroit, MI 48216-2402. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1114167111 issued?
NPI 1114167111 was first issued (enumerated) on 2009-03-03. The NPPES record was last updated on 2025-10-14.
Practice Location Map
Solara Medical Supplies, Llc is located at 1401 Vermont St Ste 115, Detroit, MI. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Solara Medical Supplies, Llc. All records sourced from the CMS NPPES registry.