Healthcare Provider Details

I. General information

NPI: 1659206589
Provider Name (Legal Business Name): ADONIS ATL HEALTHCARE SYSTEM INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2026
Last Update Date: 06/13/2026
Certification Date: 06/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1995 N PARK PL SE STE 310G
ATLANTA GA
30339-2186
US

IV. Provider business mailing address

1995 N PARK PL SE STE 310G
ATLANTA GA
30339-2186
US

V. Phone/Fax

Practice location:
  • Phone: 312-770-0271
  • Fax:
Mailing address:
  • Phone: 312-770-0271
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: ABIODUN ABIFARIN
Title or Position: CO-OWNER
Credential: OFFICER
Phone: 312-770-0271