Provider Demographics
NPI:1033589981
Name:ATLAS HOME CARE SERVICES
Entity Type:Organization
Organization Name:ATLAS HOME CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SYLVESTER
Authorized Official - Middle Name:THABO
Authorized Official - Last Name:LANGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-209-3881
Mailing Address - Street 1:5646 THOMAS AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19143-4645
Mailing Address - Country:US
Mailing Address - Phone:347-209-3881
Mailing Address - Fax:
Practice Address - Street 1:5646 THOMAS AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19143-4645
Practice Address - Country:US
Practice Address - Phone:347-209-3881
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-05
Last Update Date:2015-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care