Healthcare Provider Details

I. General information

NPI: 1255251930
Provider Name (Legal Business Name): SOLOMON NORTH HOMECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1344 GAUSE BLVD W
SLIDELL LA
70460-5764
US

IV. Provider business mailing address

1344 GAUSE BLVD W
SLIDELL LA
70460-5764
US

V. Phone/Fax

Practice location:
  • Phone: 800-576-2016
  • Fax: 985-202-2018
Mailing address:
  • Phone: 800-576-2016
  • Fax: 985-202-2018

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: LISA WILLIAMS
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 800-576-2016