Provider Demographics
NPI:1205220639
Name:SOLARIS HH, INC,.
Entity Type:Organization
Organization Name:SOLARIS HH, INC,.
Other - Org Name:SOLARIS HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLIGAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:940-627-1011
Mailing Address - Street 1:2250 S FM 51 STE 400
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:TX
Mailing Address - Zip Code:76234-3767
Mailing Address - Country:US
Mailing Address - Phone:940-627-1011
Mailing Address - Fax:940-627-3098
Practice Address - Street 1:2104 ROOSEVELT DR STE Q
Practice Address - Street 2:
Practice Address - City:DALWORTHINGTON GARDENS
Practice Address - State:TX
Practice Address - Zip Code:76013-5900
Practice Address - Country:US
Practice Address - Phone:817-303-2247
Practice Address - Fax:817-303-2249
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-24
Last Update Date:2015-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010277251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
679791Medicare Oscar/Certification