Provider Demographics
NPI:1275321325
Name:SODALITE HEALTH CARE SERVICES LLC
Entity type:Organization
Organization Name:SODALITE HEALTH CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SYLVIA
Authorized Official - Middle Name:
Authorized Official - Last Name:EBONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-316-8662
Mailing Address - Street 1:4600 POWDER MILL RD STE 450-S17
Mailing Address - Street 2:
Mailing Address - City:BELTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20705-2675
Mailing Address - Country:US
Mailing Address - Phone:227-215-8486
Mailing Address - Fax:
Practice Address - Street 1:4600 POWDER MILL RD STE 450-S17
Practice Address - Street 2:
Practice Address - City:BELTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20705-2675
Practice Address - Country:US
Practice Address - Phone:227-215-8486
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-29
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health