Provider Demographics
NPI:1346437357
Name:BLUEFLAME GROUP CORPORATION
Entity Type:Organization
Organization Name:BLUEFLAME GROUP CORPORATION
Other - Org Name:ATL HOME HEALTH CORPORATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT & CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDRE
Authorized Official - Middle Name:T
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-967-9104
Mailing Address - Street 1:6151 MIRAMAR PKWY STE 124
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33023-3988
Mailing Address - Country:US
Mailing Address - Phone:954-967-9104
Mailing Address - Fax:954-967-9107
Practice Address - Street 1:6151 MIRAMAR PKWY STE 124
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33023-3988
Practice Address - Country:US
Practice Address - Phone:954-967-9104
Practice Address - Fax:954-967-9107
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-03
Last Update Date:2022-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Multi-Specialty