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: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2222 W GRAND RIVER AVE STE A
OKEMOS MI
48864-1604
US

IV. Provider business mailing address

2222 W GRAND RIVER AVE STE A
OKEMOS MI
48864-1604
US

V. Phone/Fax

Practice location:
  • Phone: 406-272-2535
  • Fax: 406-795-5656
Mailing address:
  • Phone: 406-272-2535
  • Fax: 406-795-5656

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ABDALLA A ALI
Title or Position: OWNER
Credential:
Phone: 406-272-2535