Organization Active NPI

Atlantis Coordinated Services LLC

  • Case Management Agency
  • Philadelphia, PA
National Provider Identifier
1699234112
Registry record updated Mar 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
ATLANTIS COORDINATED SERVICES LLC
Practice address
1621 Carpenter St Unit 1
Philadelphia, PA 19146-2005
Phone
(267) 780-3093
Fax
(267) 367-5550
NPI assigned
Mar 14, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2019

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

Authorized official

Name
Nicholas Morelli
Title
Director
Phone
(267) 780-3093

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary
Supports Brokerage Agency 251X00000X

Addresses

Primary practice location

1621 Carpenter St Unit 1
Philadelphia, PA 19146-2005

Mailing address

1621 Carpenter St Unit 1
Philadelphia, PA 19146-2005
Phone (267) 780-3093

Other identifiers 1

IdentifierTypeStateIssuer
1035934700001MedicaidPA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1552521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552521600000",
    "number": "1699234112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 CARPENTER ST UNIT 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191462005",
            "telephone_number": "267-780-3093",
            "fax_number": "267-367-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 CARPENTER ST UNIT 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191462005",
            "telephone_number": "267-780-3093",
            "fax_number": "267-367-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIS COORDINATED SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-14",
        "last_updated": "2019-03-14",
        "status": "A",
        "authorized_official_last_name": "MORELLI",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "267-780-3093"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1035934700001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2019; 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.