Provider Demographics
NPI:1184295404
Name:ATLAS HOSPICE CARE SERVICES
Entity type:Organization
Organization Name:ATLAS HOSPICE CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:URRETE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-495-3974
Mailing Address - Street 1:25050 AVENUE KEARNY STE 110A
Mailing Address - Street 2:
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-1256
Mailing Address - Country:US
Mailing Address - Phone:661-495-3974
Mailing Address - Fax:
Practice Address - Street 1:25050 AVENUE KEARNY STE 110A
Practice Address - Street 2:
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-1256
Practice Address - Country:US
Practice Address - Phone:661-495-3974
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-07
Last Update Date:2021-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based