Organization Active NPI

Atlas Procare LLC

  • Home Health Agency
  • Atlanta, GA
National Provider Identifier
1205536091
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ATLAS PROCARE LLC
Practice address
4695 N Church LN SE Apt 2208
Atlanta, GA 30339-0526
Phone
(888) 472-8527
Fax
(888) 472-8527
NPI assigned
Mar 9, 2023
Last updated
Mar 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2023

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

Authorized official

Name
Felicia Burrell
Title
Administrator
Phone
(888) 472-8527

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4695 N Church LN SE Apt 2208
Atlanta, GA 30339-0526

Mailing address

4695 N Church LN SE Apt 2208
Atlanta, GA 30339-0526
Phone (888) 472-8527

Other identifiers 1

IdentifierTypeStateIssuer
003227656BMedicaidGA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1678320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678320000000",
    "number": "1205536091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4695 N CHURCH LN SE APT 2208",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303390526",
            "telephone_number": "888-472-8527",
            "fax_number": "888-472-8527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4695 N CHURCH LN SE APT 2208",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303390526",
            "telephone_number": "888-472-8527",
            "fax_number": "888-472-8527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLAS PROCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-09",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A",
        "authorized_official_last_name": "BURRELL",
        "authorized_official_first_name": "FELICIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "888-472-8527"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003227656B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.