Provider Demographics
NPI:1477868222
Name:ATKINS IN HOME CARE, LLC
Entity Type:Organization
Organization Name:ATKINS IN HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:KAREEMAH
Authorized Official - Middle Name:NAFEESAH
Authorized Official - Last Name:ATKINS
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:215-526-8431
Mailing Address - Street 1:1209 RIDGE AVE
Mailing Address - Street 2:3RD FLR
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19123-3204
Mailing Address - Country:US
Mailing Address - Phone:215-526-8431
Mailing Address - Fax:
Practice Address - Street 1:5045 TULIP ST
Practice Address - Street 2:UNIT 2
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19124-2252
Practice Address - Country:US
Practice Address - Phone:215-526-8431
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-17
Last Update Date:2012-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based
No253Z00000XAgenciesIn Home Supportive Care