Healthcare Provider Details

I. General information

NPI: 1659770881
Provider Name (Legal Business Name): SOLOMON INTERNATIONAL INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2014
Last Update Date: 10/07/2025
Certification Date: 10/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2520 S HIGHWAY 17 SUITE 2
MURRELLS INLET SC
29576-7657
US

IV. Provider business mailing address

2520 S HIGHWAY 17 SUITE 2
MURRELLS INLET SC
29576-7657
US

V. Phone/Fax

Practice location:
  • Phone: 843-651-2273
  • Fax: 843-651-1592
Mailing address:
  • Phone: 843-651-2273
  • Fax: 843-651-1592

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code302F00000X
TaxonomyExclusive Provider Organization
License Number
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MRS. JAMIE L RECUPERO
Title or Position: COO
Credential:
Phone: 843-651-2273