Healthcare Provider Details

I. General information

NPI: 1003721481
Provider Name (Legal Business Name): ATLAS COMMUNITY CARE MI LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3200 GREENFIELD RD STE 361
DEARBORN MI
48120-1802
US

IV. Provider business mailing address

3200 GREENFIELD RD STE 361
DEARBORN MI
48120-1802
US

V. Phone/Fax

Practice location:
  • Phone: 989-220-1867
  • Fax: 406-795-5656
Mailing address:
  • Phone: 989-220-1867
  • Fax: 406-795-5656

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: ABDALLA A ALI
Title or Position: OWNER
Credential:
Phone: 989-220-1867