Provider Demographics
NPI:1578903019
Name:THE ATRIUM OF BOCA RATON
Entity Type:Organization
Organization Name:THE ATRIUM OF BOCA RATON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:KOCHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-750-7555
Mailing Address - Street 1:1080 NW 15TH ST
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33486-1331
Mailing Address - Country:US
Mailing Address - Phone:561-750-7555
Mailing Address - Fax:561-750-6746
Practice Address - Street 1:1080 NW 15TH ST
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33486-1331
Practice Address - Country:US
Practice Address - Phone:561-750-7555
Practice Address - Fax:561-750-6746
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-28
Last Update Date:2013-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL7352310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility