Atr Nutrition Center LLC

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

License

DN001597 Issued in PA

Legal business name

ATR NUTRITION CENTER LLC

Practice address

3858 Pulaski Ave
Philadelphia, PA 19140-3540

Phone

(215) 225-0333

Fax

(215) 225-0380

NPI assigned

Aug 21, 2012

Last updated

Aug 21, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Terrese G Rice, REGISTER DIETITIAN

Title

Vice President

Phone

(215) 225-0333

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1345507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345507200000",
    "number": "1598013773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3858 PULASKI AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191403540",
            "telephone_number": "215-225-0333",
            "fax_number": "215-225-0380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3858 PULASKI AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191403540",
            "telephone_number": "215-225-0333",
            "fax_number": "215-225-0380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATR NUTRITION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-21",
        "last_updated": "2012-08-21",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "TERRESE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "215-225-0333",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "REGISTER DIETITIAN"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "PA",
            "license": "DN001597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Custodial Care Facility in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Custodial Care Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2012; 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.