Provider Demographics
NPI:1477697571
Name:SOLARI HOSPICE CARE, LLC
Entity Type:Organization
Organization Name:SOLARI HOSPICE CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOE
Authorized Official - Middle Name:
Authorized Official - Last Name:STILLMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-795-8760
Mailing Address - Street 1:8712 E VIA DE COMMERCIO
Mailing Address - Street 2:SUITE 10
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-3362
Mailing Address - Country:US
Mailing Address - Phone:480-634-4187
Mailing Address - Fax:480-634-6039
Practice Address - Street 1:8712 E VIA DE COMMERCIO
Practice Address - Street 2:SUITE 10
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-3362
Practice Address - Country:US
Practice Address - Phone:480-634-4187
Practice Address - Fax:480-634-6039
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-20
Last Update Date:2008-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ03-1571Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER