Healthcare Provider Details
I. General information
NPI: 1891110862
Provider Name (Legal Business Name): SOLSTICE HOME HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/26/2014
Last Update Date: 09/20/2022
Certification Date: 09/20/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1250 E 3900 S STE 301
SALT LAKE CITY UT
84124-1350
US
IV. Provider business mailing address
1115 S 900 E
SALT LAKE CITY UT
84105-1323
US
V. Phone/Fax
- Phone: 801-485-1035
- Fax: 801-606-7333
- Phone: 801-485-1035
- Fax: 801-606-7333
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
AMY
HARTMAN
Title or Position: OWNER
Credential:
Phone: 801-485-1035