Atlas Professional Home Care

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

ATLAS PROFESSIONAL HOME CARE

Practice address

16 Linda CT Apt a
Gaithersburg, MD 20877-3084

Phone

(240) 643-4919

NPI assigned

Jan 10, 2019

Last updated

Jan 10, 2019By 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

Ms. Antoinette Nato Itoka INPI 1992374045

Title

Owner

Phone

(240) 643-4919

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Antoinette Itoka

  • Meals Provider
  • Grimes, IA
  • NPI 1992374045
  NPD Authorized official

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

{
    "created_epoch": "1547078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547078400000",
    "number": "1851864995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 LINDA CT APT A",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208773084",
            "telephone_number": "240-643-4919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 LINDA CT APT A",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208773084",
            "telephone_number": "240-643-4919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLAS PROFESSIONAL HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-10",
        "last_updated": "2019-01-10",
        "status": "A",
        "authorized_official_last_name": "ITOKA",
        "authorized_official_first_name": "ANTOINETTE",
        "authorized_official_middle_name": "NATO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-643-4919",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_name_suffix": "I"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "424051100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Gaithersburg, MD
• Providers in Gaithersburg, MD by specialty
• In Home Supportive Care Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.