Provider Demographics
NPI:1881588242
Name:SOLSTICE HOME CARE LLC
Entity type:Organization
Organization Name:SOLSTICE HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CNA
Authorized Official - Prefix:
Authorized Official - First Name:CARLA
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:NURSE AIDE
Authorized Official - Phone:662-212-1913
Mailing Address - Street 1:PO BOX 88
Mailing Address - Street 2:
Mailing Address - City:BOONEVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:38829-0088
Mailing Address - Country:US
Mailing Address - Phone:662-212-1913
Mailing Address - Fax:
Practice Address - Street 1:101 BRIDGE ST APT 6
Practice Address - Street 2:
Practice Address - City:BOONEVILLE
Practice Address - State:MS
Practice Address - Zip Code:38829-3443
Practice Address - Country:US
Practice Address - Phone:662-366-4287
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-09
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care