Provider Demographics
NPI:1033608567
Name:SOLOMON HOME CARE
Entity Type:Organization
Organization Name:SOLOMON HOME CARE
Other - Org Name:TRINITY CARE AT HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:NURSE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ODEA
Authorized Official - Middle Name:SONJA
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:678-731-0831
Mailing Address - Street 1:48 OLD ROSWELL ST
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30009-7908
Mailing Address - Country:US
Mailing Address - Phone:678-731-0831
Mailing Address - Fax:678-712-2922
Practice Address - Street 1:48 OLD ROSWELL ST
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30009-7908
Practice Address - Country:US
Practice Address - Phone:678-731-0831
Practice Address - Fax:678-712-2922
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-10
Last Update Date:2018-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care