Provider Demographics
NPI:1346025160
Name:ATIBS HOME CARE LLC
Entity type:Organization
Organization Name:ATIBS HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:OLUWADAMILOLA
Authorized Official - Middle Name:
Authorized Official - Last Name:ATIBA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:682-407-8392
Mailing Address - Street 1:4006 FALCON DR
Mailing Address - Street 2:
Mailing Address - City:MELISSA
Mailing Address - State:TX
Mailing Address - Zip Code:75454-0568
Mailing Address - Country:US
Mailing Address - Phone:682-407-8392
Mailing Address - Fax:
Practice Address - Street 1:4006 FALCON DR
Practice Address - Street 2:
Practice Address - City:MELISSA
Practice Address - State:TX
Practice Address - Zip Code:75454-0568
Practice Address - Country:US
Practice Address - Phone:682-407-8392
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-29
Last Update Date:2024-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty
No310400000XNursing & Custodial Care FacilitiesAssisted Living FacilityGroup - Single Specialty