Provider Demographics
NPI:1164154118
Name:ATLANTA HOUSE HEALTH CARE LLC
Entity Type:Organization
Organization Name:ATLANTA HOUSE HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:GOULD
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:470-593-6815
Mailing Address - Street 1:270 17TH ST NW UNIT 3010
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30363-1222
Mailing Address - Country:US
Mailing Address - Phone:470-593-6815
Mailing Address - Fax:
Practice Address - Street 1:270 17TH ST NW UNIT 3010
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30363-1222
Practice Address - Country:US
Practice Address - Phone:470-593-6815
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-28
Last Update Date:2022-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care