Provider Demographics
NPI:1194174722
Name:ATLAS HOME HEALTH CARE LLC
Entity type:Organization
Organization Name:ATLAS HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LEONIA
Authorized Official - Middle Name:
Authorized Official - Last Name:NAKITAYIMBWA
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:781-215-2869
Mailing Address - Street 1:272 CAMBRIDGE RD
Mailing Address - Street 2:APT. 37
Mailing Address - City:WOBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01801-6007
Mailing Address - Country:US
Mailing Address - Phone:781-215-2869
Mailing Address - Fax:
Practice Address - Street 1:272 CAMBRIDGE RD
Practice Address - Street 2:APT. 37
Practice Address - City:WOBURN
Practice Address - State:MA
Practice Address - Zip Code:01801-6007
Practice Address - Country:US
Practice Address - Phone:781-215-2869
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-04
Last Update Date:2016-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health