Provider Demographics
NPI:1790912319
Name:SOLAR HOMECARE INC
Entity Type:Organization
Organization Name:SOLAR HOMECARE INC
Other - Org Name:CIMOIC PERSONAL ASSISTANT SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:OLUWATOYIN
Authorized Official - Middle Name:
Authorized Official - Last Name:OLUWASOLA
Authorized Official - Suffix:
Authorized Official - Credentials:BSN, RN
Authorized Official - Phone:214-350-8833
Mailing Address - Street 1:2305 OAK LANE STE 211
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75051
Mailing Address - Country:US
Mailing Address - Phone:214-350-8833
Mailing Address - Fax:214-396-0453
Practice Address - Street 1:2305 OAK LANE STE 211
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75051
Practice Address - Country:US
Practice Address - Phone:214-350-8833
Practice Address - Fax:214-396-0453
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-22
Last Update Date:2018-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX2118933701Medicaid