Healthcare Provider Details

I. General information

NPI: 1831284553
Provider Name (Legal Business Name): ATLANTIC HOME HEALTH CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8810 E HAMPDEN AVE STE 100
DENVER CO
80231-4926
US

IV. Provider business mailing address

6667 E DORADO AVE
GREENWOOD VILLAGE CO
80111-1706
US

V. Phone/Fax

Practice location:
  • Phone: 303-377-8833
  • Fax: 303-377-8877
Mailing address:
  • Phone: 303-377-8833
  • Fax: 303-377-8877

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number20021180265
License Number StateCO

VIII. Authorized Official

Name: MS. FATEMEH PANAHI
Title or Position: ADMINISTRATOR
Credential: RN
Phone: 303-377-8833