Provider Demographics
NPI:1972354736
Name:SOAR HEALTH CARE LLC
Entity type:Organization
Organization Name:SOAR HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-313-9932
Mailing Address - Street 1:12218 56TH PL S
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98178-3504
Mailing Address - Country:US
Mailing Address - Phone:206-313-9932
Mailing Address - Fax:
Practice Address - Street 1:15035 MILITARY RD S # 4
Practice Address - Street 2:
Practice Address - City:SEATAC
Practice Address - State:WA
Practice Address - Zip Code:98188-2139
Practice Address - Country:US
Practice Address - Phone:206-773-8189
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-29
Last Update Date:2024-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care