Provider Demographics
NPI:1720675614
Name:ATLAS HOME HEALTH SERVICES, LLC
Entity Type:Organization
Organization Name:ATLAS HOME HEALTH SERVICES, LLC
Other - Org Name:ATLAS HOME HEALTH SERVICES, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ABDIHABIB
Authorized Official - Middle Name:A
Authorized Official - Last Name:MIRE
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:614-598-9689
Mailing Address - Street 1:623 PARK MEADOW RD STE D
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-2876
Mailing Address - Country:US
Mailing Address - Phone:614-598-9689
Mailing Address - Fax:
Practice Address - Street 1:635 PARK MEADOW RD STE 205
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-2877
Practice Address - Country:US
Practice Address - Phone:614-423-8783
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-24
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion