Provider Demographics
NPI:1972541514
Name:SOLARI HOSPICE CARE
Entity Type:Organization
Organization Name:SOLARI HOSPICE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOE
Authorized Official - Middle Name:C
Authorized Official - Last Name:STILLMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-795-8760
Mailing Address - Street 1:4648 E SHEA BLVD
Mailing Address - Street 2:A-230
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85028-3073
Mailing Address - Country:US
Mailing Address - Phone:602-795-8760
Mailing Address - Fax:602-795-8975
Practice Address - Street 1:4648 E SHEA BLVD
Practice Address - Street 2:A-230
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85028-3073
Practice Address - Country:US
Practice Address - Phone:602-795-8760
Practice Address - Fax:602-795-8975
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ955009Medicare ID - Type UnspecifiedHOME OFFICE MCR NO