Provider Demographics
NPI:1689457376
Name:ATLAS HOME CARE, LLC
Entity Type:Organization
Organization Name:ATLAS HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:EDGAR
Authorized Official - Last Name:PENNELL
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:864-448-1208
Mailing Address - Street 1:300B E GREENVILLE ST
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:SC
Mailing Address - Zip Code:29621-5534
Mailing Address - Country:US
Mailing Address - Phone:864-448-1208
Mailing Address - Fax:864-305-1015
Practice Address - Street 1:300B E GREENVILLE ST
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29621-5534
Practice Address - Country:US
Practice Address - Phone:864-448-1208
Practice Address - Fax:864-305-1015
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-16
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care