NPIMap

Organization Active NPI

Atic LLC

  • Developmentally Disabled Services Day Training Agency
  • Heartland, TX
National Provider Identifier
1053706564
Registry record updated Apr 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
ATIC LLC
Practice address
4041 Eagle Dr
Heartland, TX 75126-8402
Phone
(972) 816-7861
NPI assigned
Apr 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Leticia C Green, B.S.
Title
Ceo
Phone
(972) 816-7861

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X TX Primary

Addresses

Primary practice location

4041 Eagle Dr
Heartland, TX 75126-8402

Mailing address

4041 Eagle Dr
Heartland, TX 75126-8402
Phone (972) 816-7861

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1427846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427846400000",
    "number": "1053706564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4041 EAGLE DR",
            "city": "HEARTLAND",
            "state": "TX",
            "postal_code": "751268402",
            "telephone_number": "972-816-7861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4041 EAGLE DR",
            "city": "HEARTLAND",
            "state": "TX",
            "postal_code": "751268402",
            "telephone_number": "972-816-7861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-01",
        "last_updated": "2015-04-01",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "LETICIA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "972-816-7861",
        "authorized_official_credential": "B.S."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Heartland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.