Provider Demographics
NPI:1083048979
Name:SOLOMON HEALTHCARE, LLC
Entity Type:Organization
Organization Name:SOLOMON HEALTHCARE, LLC
Other - Org Name:SOUTHWEST HOME HEALTH AGENCY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:REGINALD
Authorized Official - Middle Name:D
Authorized Official - Last Name:SOLOMON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-607-4867
Mailing Address - Street 1:9850 MEADOWGLEN LN APT 143
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77042-4360
Mailing Address - Country:US
Mailing Address - Phone:832-607-4867
Mailing Address - Fax:
Practice Address - Street 1:9850 MEADOWGLEN LN APT 143
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042-4360
Practice Address - Country:US
Practice Address - Phone:832-607-4867
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-27
Last Update Date:2013-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320700000XResidential Treatment FacilitiesResidential Treatment Facility, Physical Disabilities