Provider Demographics
NPI:1841421336
Name:CENTRUM HEALTH CARE SERVICE INC
Entity Type:Organization
Organization Name:CENTRUM HEALTH CARE SERVICE INC
Other - Org Name:SOLARIS HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLIGAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:940-536-0013
Mailing Address - Street 1:2250 S FM 51 STE 400
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:TX
Mailing Address - Zip Code:76234-3767
Mailing Address - Country:US
Mailing Address - Phone:940-536-0013
Mailing Address - Fax:888-849-7347
Practice Address - Street 1:2250 S FM 51 STE 400
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:TX
Practice Address - Zip Code:76234-3767
Practice Address - Country:US
Practice Address - Phone:940-536-0013
Practice Address - Fax:888-849-7347
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-31
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health