Altrus LLC
Organization Active NPI Assisted Living Facility · Decatur, GA
NPI 1013381235 · NPPES record last updated Sep 12, 2022
Key facts
- NPI
- 1013381235
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- Legal business name
- ALTRUS LLC
- Practice address
- 3363 Luxembourg Cir
Decatur, GA 30034-5418 - Phone
- (912) 354-6011
- NPI assigned
- Nov 27, 2015
- Organization subpart
- No
Authorized official
- Name
- Joseph Bonaccorsi
- Title
- Chief Legal Officer
- Phone
- (312) 762-9999
Corporate family (same tax ID) 13
National Provider Directory
- Tax ID family
- Altrus LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | GA | Yes |
Addresses
Primary practice location
3363 Luxembourg Cir
Decatur, GA 30034-5418
Mailing address
33 S State St FL 5
Chicago, IL 60603-2804
Phone (312) 762-9999
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003124965X | Medicaid | GA |
Other names
- Dynamic Personal Care Home
Other providers in Decatur, GA
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- Alphacare Support Coordination, LLC
- Alpine Transportation
- Alternative Research & Development Services, Inc
- Dana Altman
- Jose Antonio Alvarez
- Victor M Alvarez
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- Amazing Pediatrics
- Nayana Yashwant Ambardekar
All providers in Decatur, GA · Assisted Living Facility in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 12, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.