MEDICARE: SOLARIS HH, INC,.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	010277	TX

General Provider Information

NPI Number	:	1205220639
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOLARIS HH, INC,.

Provider Business Mailing Address
First Line	:	2250 S FM 51 STE 400
Second Line	:
City	:	DECATUR
State	:	TX
Zip	:	76234-3767
Country	:	US
Telephone Number	:	940-627-1011
Fax Number	:	940-627-3098

Provider Business Practice Location Address
First Line	:	2104 ROOSEVELT DR STE Q
Second Line	:
City	:	DALWORTHINGTON GARDENS
State	:	TX
Zip	:	76013-5900
Country	:	US
Telephone Number	:	817-303-2247
Fax Number	:	817-303-2249

Authorized Official
Title or Position	:	CEO
Name	:	ANDY MILLIGAN
Credential	:	RN
Telephone Number	:	940-627-1011

Provider Enumeration Date	:	03/24/2015
Last Update Date	:	03/24/2015

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