Atrium Health Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ATRIUM HEALTH CARE LLC

Practice address

1609 Wesbourne Dr
Upper Marlboro, MD 20774-2479

Phone

(646) 864-8999

NPI assigned

Jun 23, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Desdery Kimolo

Title

Ceo

Phone

(646) 864-8999

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1687478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687478400000",
    "number": "1144906231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 WESBOURNE DR",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207742479",
            "telephone_number": "646-864-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 WESBOURNE DR",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207742479",
            "telephone_number": "646-864-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATRIUM HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-23",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A",
        "authorized_official_last_name": "KIMOLO",
        "authorized_official_first_name": "DESDERY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "646-864-8999",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; 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.