Provider Demographics
NPI:1619863420
Name:SOLARIS REHAB, LLC
Entity type:Organization
Organization Name:SOLARIS REHAB, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:PATTI
Authorized Official - Middle Name:HEALTH AND
Authorized Official - Last Name:CARLSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-206-8187
Mailing Address - Street 1:PO BOX 2386
Mailing Address - Street 2:
Mailing Address - City:BONITA SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34133-2386
Mailing Address - Country:US
Mailing Address - Phone:239-488-1583
Mailing Address - Fax:239-309-0219
Practice Address - Street 1:625 AUDUBON BLVD
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34110-8212
Practice Address - Country:US
Practice Address - Phone:239-488-1583
Practice Address - Fax:239-309-0219
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SOLARIS REHAB, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-06-17
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation