Soledad Social Services Corporation

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

200900006C Issued in IL

Legal business name

SOLEDAD SOCIAL SERVICES CORPORATION

Practice address

7107 W Belmont Ave Ste 1
Chicago, IL 60634-4500

Phone

(773) 481-9096

NPI assigned

Jun 29, 2016

Last updated

Jun 29, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eddie Futotana

Title

Secretary

Phone

(773) 706-9308

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1467158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467158400000",
    "number": "1942651013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7107 W BELMONT AVE STE 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606344500",
            "telephone_number": "773-481-9096",
            "fax_number": "773-622-8385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7107 W BELMONT AVE STE 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606344500",
            "telephone_number": "773-481-9096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLEDAD SOCIAL SERVICES CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-29",
        "last_updated": "2016-06-29",
        "status": "A",
        "authorized_official_last_name": "FUTOTANA",
        "authorized_official_first_name": "EDDIE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "773-706-9308"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IL",
            "license": "200900006C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Solaris Diagnostics PC
• Lauren Solarz
• Monika Solarz, COTA/L
• Jenna Soldati, LCPC
• Roman Symeon Solecki, MD
• Emily Solem
• Sydney Solem, PA, C
• Fernando Soler, M.D.
• Johnna Renea Soler, M.A., B.C.B.A.
• Solera Health Services, Inc.

• In Home Supportive Care Agency in Chicago, IL
• Providers in Chicago, IL by specialty
• In Home Supportive Care Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; 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.