Provider Demographics
NPI:1215264593
Name:ATLAS HOME HEALTH CARE INC
Entity type:Organization
Organization Name:ATLAS HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:MUINAT
Authorized Official - Middle Name:ADENRELE
Authorized Official - Last Name:ALAKA
Authorized Official - Suffix:
Authorized Official - Credentials:RN, REGISTERED NURSE
Authorized Official - Phone:612-245-1161
Mailing Address - Street 1:7710 BROOKLYN BLVD
Mailing Address - Street 2:SUITE 206
Mailing Address - City:BROOKLYN PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55443-2979
Mailing Address - Country:US
Mailing Address - Phone:763-355-5472
Mailing Address - Fax:763-205-2371
Practice Address - Street 1:7710 BROOKLYN BLVD
Practice Address - Street 2:SUITE 206
Practice Address - City:BROOKLYN PARK
Practice Address - State:MN
Practice Address - Zip Code:55443-2979
Practice Address - Country:US
Practice Address - Phone:763-355-5472
Practice Address - Fax:763-205-2371
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-08
Last Update Date:2009-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN346595251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health