Provider Demographics
NPI:1982712501
Name:ATARAXIS INC
Entity Type:Organization
Organization Name:ATARAXIS INC
Other - Org Name:ATARAXIS HOME CARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ROSEMARY
Authorized Official - Middle Name:
Authorized Official - Last Name:MIVALE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:281-752-4610
Mailing Address - Street 1:12710 ASHFORD MEADOW DRIVE
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082
Mailing Address - Country:US
Mailing Address - Phone:281-752-4610
Mailing Address - Fax:281-497-0818
Practice Address - Street 1:12710 ASHFORD MEADOW DRIVE
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082
Practice Address - Country:US
Practice Address - Phone:281-752-4610
Practice Address - Fax:281-497-0818
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health