Provider Demographics
NPI:1558917153
Name:ATLANTIC HEALTHCARE & CONCIERGE SERVICES LLC
Entity Type:Organization
Organization Name:ATLANTIC HEALTHCARE & CONCIERGE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ABIBATU
Authorized Official - Middle Name:ABIGAL
Authorized Official - Last Name:THOMAS ASANTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-455-8979
Mailing Address - Street 1:PO BOX 1316
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30214-6316
Mailing Address - Country:US
Mailing Address - Phone:404-937-3738
Mailing Address - Fax:877-334-0635
Practice Address - Street 1:500 LANIER AVE W STE 910A
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30214-7641
Practice Address - Country:US
Practice Address - Phone:404-937-3738
Practice Address - Fax:877-334-0635
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-11
Last Update Date:2019-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376K00000XNursing Service Related ProvidersNurse's AideGroup - Multi-Specialty
No163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty