Provider Demographics
NPI:1285082479
Name:ATRIUM HOSPICE
Entity type:Organization
Organization Name:ATRIUM HOSPICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:DANDRE
Authorized Official - Middle Name:DEMOND
Authorized Official - Last Name:GREEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-368-8655
Mailing Address - Street 1:1455 ELVA DR SW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30331-7327
Mailing Address - Country:US
Mailing Address - Phone:404-368-8655
Mailing Address - Fax:866-213-4854
Practice Address - Street 1:198 MEMORIAL DR SE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30312-2055
Practice Address - Country:US
Practice Address - Phone:404-368-8655
Practice Address - Fax:866-213-4854
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-27
Last Update Date:2016-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based