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NPI Code Detail

MEDICARE: ATRIUM HOME CARE LLC

MEDICARE: ATRIUM HOME CARE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1689502908
Entity Type Code : Organization
Provider Name (Legal Business Name) : ATRIUM HOME CARE LLC
Provider Business Mailing Address
First Line : 13044 BUSTLETON AVE UNIT 4
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19116-1676
Country : US
Telephone Number : 267-767-8939
Fax Number :
Provider Business Practice Location Address
First Line : 13044 BUSTLETON AVE UNIT 4
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19116-1676
Country : US
Telephone Number : 267-767-8939
Fax Number :
Authorized Official
Title or Position : MANAGING MEMBER
Name : YAUHENI ULADZIMIRAVICH YEFIMOVICH
Credential :
Telephone Number : 267-767-8939
Provider Enumeration Date : 05/08/2026
Last Update Date : 05/08/2026

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Directions to “ATRIUM HOME CARE LLC ” Practice Location

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