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NPI Code Detail

MEDICARE: ATOMICARE LLC

MEDICARE: ATOMICARE 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 : 1861330987
Entity Type Code : Organization
Provider Name (Legal Business Name) : ATOMICARE LLC
Provider Business Mailing Address
First Line : 5203 JUAN TABO BLVD NE STE 2B
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87111-2691
Country : US
Telephone Number : 505-295-0101
Fax Number : 505-295-0101
Provider Business Practice Location Address
First Line : 409 N FIRST ST
Second Line :
City : GRANTS
State : NM
Zip : 87020-2544
Country : US
Telephone Number : 719-480-3864
Fax Number :
Authorized Official
Title or Position : MANAGING MEMBER
Name : WHITNEY CARTER SHAW
Credential : RN
Telephone Number : 719-480-3864
Provider Enumeration Date : 03/23/2026
Last Update Date : 06/13/2026

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Directions to “ATOMICARE LLC ” Practice Location

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