Provider Demographics
NPI:1790710275
Name:ATLAS HOME HEALTH CARE, INC
Entity Type:Organization
Organization Name:ATLAS HOME HEALTH CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ZUNNU
Authorized Official - Middle Name:
Authorized Official - Last Name:RAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-514-2956
Mailing Address - Street 1:5577 GREENBRIAR DR
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48322-1400
Mailing Address - Country:US
Mailing Address - Phone:248-514-2956
Mailing Address - Fax:248-788-0237
Practice Address - Street 1:15565 NORTHLAND DRIVE
Practice Address - Street 2:SUITE 708 W
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075
Practice Address - Country:US
Practice Address - Phone:248-569-9407
Practice Address - Fax:248-569-9454
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-12
Last Update Date:2007-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health