Provider Demographics
NPI:1548442346
Name:SOLACE HOME CARE, INC.
Entity type:Organization
Organization Name:SOLACE HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/DIRECTOR/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:A
Authorized Official - Last Name:KIRKPATRICK
Authorized Official - Suffix:
Authorized Official - Credentials:RNC
Authorized Official - Phone:252-937-1800
Mailing Address - Street 1:854 TIFFANY BLVD STE 102
Mailing Address - Street 2:
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:NC
Mailing Address - Zip Code:27804-1808
Mailing Address - Country:US
Mailing Address - Phone:252-937-1800
Mailing Address - Fax:252-937-1800
Practice Address - Street 1:854 TIFFANY BLVD STE 102
Practice Address - Street 2:
Practice Address - City:ROCKY MOUNT
Practice Address - State:NC
Practice Address - Zip Code:27804-1808
Practice Address - Country:US
Practice Address - Phone:252-937-1800
Practice Address - Fax:252-937-1800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-04
Last Update Date:2007-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC3576251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3418388Medicaid