Provider Demographics
NPI:1891820932
Name:ATLANTIS HOME HEALTHCARE, INC
Entity Type:Organization
Organization Name:ATLANTIS HOME HEALTHCARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:SYED
Authorized Official - Middle Name:
Authorized Official - Last Name:KARIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-207-0000
Mailing Address - Street 1:30700 TELEGRAPH RD
Mailing Address - Street 2:SUITE 1677
Mailing Address - City:BINGHAM FARMS
Mailing Address - State:MI
Mailing Address - Zip Code:48025-4567
Mailing Address - Country:US
Mailing Address - Phone:734-207-0000
Mailing Address - Fax:734-207-0001
Practice Address - Street 1:30700 TELEGRAPH RD
Practice Address - Street 2:SUITE 1677
Practice Address - City:BINGHAM FARMS
Practice Address - State:MI
Practice Address - Zip Code:48025-4567
Practice Address - Country:US
Practice Address - Phone:734-207-0000
Practice Address - Fax:734-207-0001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2012-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health