1245269497 NPI number — SOLICITUDE SOLUTIONS, INC.

Table of content: (NPI 1245269497)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1245269497 NPI number — SOLICITUDE SOLUTIONS, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SOLICITUDE SOLUTIONS, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
S.A. NURSES HOME HEALTH AGENCY
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1245269497
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/07/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4414 CENTERVIEW
Provider Second Line Business Mailing Address:
SUITE 210
Provider Business Mailing Address City Name:
SAN ANTONIO
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78228-1418
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
210-798-2199
Provider Business Mailing Address Fax Number:
210-270-8215

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4414 CENTERVIEW STE 210
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAN ANTONIO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78228-1432
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
210-798-2199
Provider Business Practice Location Address Fax Number:
210-270-8215
Provider Enumeration Date:
07/01/2006

Additional Information

Authorized Official

Authorized Official Last Name:
HOGAN
Authorized Official First Name:
RON
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
318-366-8936

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  017453 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1677510-01 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".




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