Provider Demographics
NPI: | 1003550559 |
---|---|
Name: | SOLUTIONS HEALTHCARE SERVICES LLC |
Entity Type: | Organization |
Organization Name: | SOLUTIONS HEALTHCARE SERVICES LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | BOBBY |
Authorized Official - Middle Name: | PROP |
Authorized Official - Last Name: | BONGAM |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 786-451-5184 |
Mailing Address - Street 1: | 116 W UNIVERSITY PKWY APT 425 |
Mailing Address - Street 2: | |
Mailing Address - City: | BALTIMORE |
Mailing Address - State: | MD |
Mailing Address - Zip Code: | 21210-3421 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 786-451-5184 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 116 W UNIVERSITY PKWY APT 425 |
Practice Address - Street 2: | |
Practice Address - City: | BALTIMORE |
Practice Address - State: | MD |
Practice Address - Zip Code: | 21210-3421 |
Practice Address - Country: | US |
Practice Address - Phone: | 786-451-5184 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2022-04-21 |
Last Update Date: | 2022-04-21 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 261QM0850X | Ambulatory Health Care Facilities | Clinic/Center | Adult Mental Health | |
No | 251E00000X | Agencies | Home Health | ||
No | 251G00000X | Agencies | Hospice Care, Community Based | ||
No | 251S00000X | Agencies | Community/Behavioral Health | ||
No | 253Z00000X | Agencies | In Home Supportive Care | ||
No | 261Q00000X | Ambulatory Health Care Facilities | Clinic/Center | ||
No | 261QD1600X | Ambulatory Health Care Facilities | Clinic/Center | Developmental Disabilities | |
No | 261QM0855X | Ambulatory Health Care Facilities | Clinic/Center | Adolescent and Children Mental Health | Group - Multi-Specialty |
No | 261QR0405X | Ambulatory Health Care Facilities | Clinic/Center | Rehabilitation, Substance Use Disorder | |
No | 320600000X | Residential Treatment Facilities | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | ||
No | 320800000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Mental Illness | ||
No | 320900000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | ||
No | 372500000X | Nursing Service Related Providers | Chore Provider | Group - Multi-Specialty | |
No | 376J00000X | Nursing Service Related Providers | Homemaker | Group - Multi-Specialty | |
No | 385HR2055X | Respite Care Facility | Respite Care | Respite Care, Mental Illness, Child | Group - Multi-Specialty |