Provider Demographics
NPI:1093914459
Name:SOLARA HOSPICE, INC
Entity Type:Organization
Organization Name:SOLARA HOSPICE, INC
Other - Org Name:SOLARA HOSPICE & PALLIATIVE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:EUN-SUN
Authorized Official - Middle Name:K
Authorized Official - Last Name:NEEDELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-578-3536
Mailing Address - Street 1:2655 1ST ST
Mailing Address - Street 2:135
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93065-0917
Mailing Address - Country:US
Mailing Address - Phone:805-578-3536
Mailing Address - Fax:805-578-3518
Practice Address - Street 1:2655 1ST ST
Practice Address - Street 2:135
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93065-0917
Practice Address - Country:US
Practice Address - Phone:805-578-3536
Practice Address - Fax:805-578-3518
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-16
Last Update Date:2007-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No251G00000XAgenciesHospice Care, Community Based