Provider Demographics
NPI:1902358906
Name:RESOLUTION HOME CARE AGENCY,LLC
Entity Type:Organization
Organization Name:RESOLUTION HOME CARE AGENCY,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:BEATRICE
Authorized Official - Middle Name:K
Authorized Official - Last Name:SALATI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:574-367-1727
Mailing Address - Street 1:813 E CALVERT ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH BEND
Mailing Address - State:IN
Mailing Address - Zip Code:46613-2907
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:600 S MAIN ST
Practice Address - Street 2:SUITE 304
Practice Address - City:ELKHART
Practice Address - State:IN
Practice Address - Zip Code:46516-3248
Practice Address - Country:US
Practice Address - Phone:574-326-3386
Practice Address - Fax:574-333-2133
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-26
Last Update Date:2016-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN16-014022-1251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health