Healthcare Provider Details

I. General information

NPI: 1811640188
Provider Name (Legal Business Name): ATENTA HEALTHCARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/27/2022
Last Update Date: 01/27/2022
Certification Date: 01/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

38 DURAND PL FL 1
IRVINGTON NJ
07111-1806
US

IV. Provider business mailing address

38 DURAND PL FL 1
IRVINGTON NJ
07111-1806
US

V. Phone/Fax

Practice location:
  • Phone: 201-341-1020
  • Fax:
Mailing address:
  • Phone: 201-341-1020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. GRETLYN ROBERTS
Title or Position: DIRECTOR
Credential: RN
Phone: 201-341-1020