Provider Demographics
NPI:1568703445
Name:EL SOL HOME HEALTHCARE LLC
Entity Type:Organization
Organization Name:EL SOL HOME HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:IMELDA
Authorized Official - Middle Name:
Authorized Official - Last Name:PRAKELT
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:480-861-1002
Mailing Address - Street 1:660 S PINAL PKWY STE 107
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:AZ
Mailing Address - Zip Code:85132-9726
Mailing Address - Country:US
Mailing Address - Phone:520-421-0775
Mailing Address - Fax:520-421-0447
Practice Address - Street 1:660 S PINAL PKWY STE 107
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:AZ
Practice Address - Zip Code:85132-9726
Practice Address - Country:US
Practice Address - Phone:520-421-0775
Practice Address - Fax:520-421-0447
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-02
Last Update Date:2013-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health