NPIMap

Organization Active NPI

Atlas Home Care Care Services

  • Licensed Practical Nurse
  • Philadelphia, PA
National Provider Identifier
1821520909
Registry record updated Mar 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
6300052 Issued in PA
Legal business name
ATLAS HOME CARE CARE SERVICES
Practice address
6509 Elmwood Ave
Philadelphia, PA 19142-2816
Phone
(215) 921-9200
Fax
(215) 921-9727
NPI assigned
Mar 29, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2017

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

Authorized official

Name
Sylvester Thabo Langa
Title
Director
Phone
(215) 921-9200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical NurseGroup: 193400000X SINGLE SPECIALTY GROUP 164W00000X 6300052 PA Primary

Addresses

Primary practice location

6509 Elmwood Ave
Philadelphia, PA 19142-2816

Mailing address

6509 Elmwood Ave
Philadelphia, PA 19142-2816
Phone (215) 921-9200

Other identifiers 2

IdentifierTypeStateIssuer
1033589981MedicaidPA
1821529801MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Atlas Home Care Care Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6509 Elmwood Ave
Philadelphia, PA 19142
Phone (215) 921-9200

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1490745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490745600000",
    "number": "1821520909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6509 ELMWOOD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191422816",
            "telephone_number": "215-921-9200",
            "fax_number": "215-921-9727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6509 ELMWOOD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191422816",
            "telephone_number": "215-921-9200",
            "fax_number": "215-921-9727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLAS HOME CARE CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-29",
        "last_updated": "2017-03-29",
        "status": "A",
        "authorized_official_last_name": "LANGA",
        "authorized_official_first_name": "SYLVESTER",
        "authorized_official_middle_name": "THABO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "215-921-9200"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "PA",
            "license": "6300052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033589981",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821529801",
            "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 29, 2017; 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.