Provider Demographics
NPI:1629127931
Name:ATRIUM SERVICES LLC
Entity Type:Organization
Organization Name:ATRIUM SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:D
Authorized Official - Last Name:FINNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-571-9321
Mailing Address - Street 1:597-599 INDUSTRIAL DRIVE
Mailing Address - Street 2:SUITE 106
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-4207
Mailing Address - Country:US
Mailing Address - Phone:317-571-9321
Mailing Address - Fax:317-571-9323
Practice Address - Street 1:597-599 INDUSTRIAL DRIVE
Practice Address - Street 2:SUITE 106
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-4207
Practice Address - Country:US
Practice Address - Phone:317-571-9321
Practice Address - Fax:317-571-9323
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
Last Update Date:2014-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332BP3500X
OHHMER22958332BP3500X
KYHME00662332BP3500X
MI5306003422332BP3500X
OHHME23284332BP3500X
KYHME00622332BP3500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY90008855Medicaid
OH2460224Medicaid
5089060001Medicare NSC