Provider Demographics
NPI:1881208239
Name:SOLIDEX GROUP LLC
Entity Type:Organization
Organization Name:SOLIDEX GROUP LLC
Other - Org Name:SOLIDEX HOME HEALTHCARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ABIODUN
Authorized Official - Middle Name:THEOPHILUS
Authorized Official - Last Name:TORIOLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-714-9079
Mailing Address - Street 1:3356 W COLUMBIA AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:LINCOLNWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60712-3855
Mailing Address - Country:US
Mailing Address - Phone:240-714-9079
Mailing Address - Fax:844-299-3007
Practice Address - Street 1:3356 W COLUMBIA AVE APT 2
Practice Address - Street 2:
Practice Address - City:LINCOLNWOOD
Practice Address - State:IL
Practice Address - Zip Code:60712-3855
Practice Address - Country:US
Practice Address - Phone:240-714-9079
Practice Address - Fax:844-299-3007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-02
Last Update Date:2021-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care