Organization Active NPI

Bana Solomon, LLC

  • In Home Supportive Care Agency
  • Santa Rosa, CA
National Provider Identifier
1053984393
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
BANA SOLOMON, LLC
Practice address
703 2ND St Ste 306
Santa Rosa, CA 95404-6536
Phone
(707) 867-1771
NPI assigned
Jul 23, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Bana Solomon
Title
President
Phone
(707) 867-1771

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

703 2ND St Ste 306
Santa Rosa, CA 95404-6536

Mailing address

703 2ND St Ste 306
Santa Rosa, CA 95404-6536
Phone (707) 867-1771

Other names 1

  • Home Helpers of Santa Rosa Other name

National Provider Directory

National Provider Directory

Locations

703 2nd St
Ste 306
Santa Rosa, CA 95404
Phone (707) 867-1771

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1626998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677542400000",
    "number": "1053984393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 2ND ST STE 306",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954046536",
            "telephone_number": "707-867-1771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 2ND ST STE 306",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954046536",
            "telephone_number": "707-867-1771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANA SOLOMON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-23",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A",
        "authorized_official_last_name": "SOLOMON",
        "authorized_official_first_name": "BANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-867-1771"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Helpers of Santa Rosa",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Home Helpers of Santa Rosa",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.