Provider Demographics
NPI:1568605848
Name:ATLANTIC AVENUE, LLC
Entity Type:Organization
Organization Name:ATLANTIC AVENUE, LLC
Other - Org Name:BILINGUAL PRIMARY HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:A
Authorized Official - Last Name:FRANKLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-242-7669
Mailing Address - Street 1:7925 GRAFTON STREET
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77017
Mailing Address - Country:US
Mailing Address - Phone:713-242-7669
Mailing Address - Fax:713-583-9714
Practice Address - Street 1:7925 GRAFTON STREET
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77017
Practice Address - Country:US
Practice Address - Phone:713-242-7669
Practice Address - Fax:713-583-9714
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ATLANTIC AVENUE, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-04-15
Last Update Date:2010-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX012511251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health