Provider Demographics
NPI:1811368640
Name:ATLANTIS HOME HEALTHCARE HOLDING LLC
Entity Type:Organization
Organization Name:ATLANTIS HOME HEALTHCARE HOLDING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MILAGROSA
Authorized Official - Middle Name:A
Authorized Official - Last Name:NAVARRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-760-6539
Mailing Address - Street 1:17126 N 134TH DR
Mailing Address - Street 2:SUITE 3
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85378-7109
Mailing Address - Country:US
Mailing Address - Phone:623-214-8664
Mailing Address - Fax:
Practice Address - Street 1:17126 N 134TH DR
Practice Address - Street 2:SUITE 3
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85378-7109
Practice Address - Country:US
Practice Address - Phone:623-214-8664
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MY HOME HEALTH CARE,INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-10-20
Last Update Date:2015-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health