MEDICARE: SOLANO CARE HOME HEALTH

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

General Provider Information

NPI Number	:	1518657089
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOLANO CARE HOME HEALTH

Provider Business Mailing Address
First Line	:	301 GEORGIA ST STE 321
Second Line	:
City	:	VALLEJO
State	:	CA
Zip	:	94590-5945
Country	:	US
Telephone Number	:	760-296-7562
Fax Number	:

Provider Business Practice Location Address
First Line	:	301 GEORGIA ST STE 321
Second Line	:
City	:	VALLEJO
State	:	CA
Zip	:	94590-5945
Country	:	US
Telephone Number	:	760-296-7562
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	KRISTINE BERNARDINO
Credential	:
Telephone Number	:	760-296-7562

Provider Enumeration Date	:	05/09/2023
Last Update Date	:	05/09/2023

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Directions to “SOLANO CARE HOME HEALTH ” Practice Location

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