Healthcare Provider Details

I. General information

NPI: 1174146682
Provider Name (Legal Business Name): ATRIANON, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2020
Last Update Date: 05/19/2020
Certification Date: 05/19/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9048 RIVER BEND CT
VILLA RICA GA
30180-4157
US

IV. Provider business mailing address

PO BOX 2193
VILLA RICA GA
30180-6442
US

V. Phone/Fax

Practice location:
  • Phone: 516-779-1502
  • Fax:
Mailing address:
  • Phone: 516-779-1502
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: MR. PAULIN PETION
Title or Position: OWNER
Credential:
Phone: 516-779-1502