Provider Demographics
NPI:1518657089
Name:SOLANO CARE HOME HEALTH
Entity Type:Organization
Organization Name:SOLANO CARE HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:KRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:BERNARDINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-296-7562
Mailing Address - Street 1:301 GEORGIA ST STE 321
Mailing Address - Street 2:
Mailing Address - City:VALLEJO
Mailing Address - State:CA
Mailing Address - Zip Code:94590-5945
Mailing Address - Country:US
Mailing Address - Phone:760-296-7562
Mailing Address - Fax:
Practice Address - Street 1:301 GEORGIA ST STE 321
Practice Address - Street 2:
Practice Address - City:VALLEJO
Practice Address - State:CA
Practice Address - Zip Code:94590-5945
Practice Address - Country:US
Practice Address - Phone:760-296-7562
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-09
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health