Provider Demographics
NPI:1306725601
Name:ATLANTIK, INC.
Entity type:Organization
Organization Name:ATLANTIK, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JANET
Authorized Official - Middle Name:PALANGCHAO
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-295-4587
Mailing Address - Street 1:461 ESTRELITA DR
Mailing Address - Street 2:
Mailing Address - City:VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:92084-7833
Mailing Address - Country:US
Mailing Address - Phone:760-295-4587
Mailing Address - Fax:760-295-1331
Practice Address - Street 1:461 ESTRELITA DR
Practice Address - Street 2:
Practice Address - City:VISTA
Practice Address - State:CA
Practice Address - Zip Code:92084-7833
Practice Address - Country:US
Practice Address - Phone:760-295-4587
Practice Address - Fax:760-295-1331
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-29
Last Update Date:2025-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility