Healthcare Provider Details

I. General information

NPI: 1861330987
Provider Name (Legal Business Name): ATOMICARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2026
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

409 N FIRST ST
GRANTS NM
87020-2544
US

IV. Provider business mailing address

409 N FIRST ST
GRANTS NM
87020-2544
US

V. Phone/Fax

Practice location:
  • Phone: 719-480-3864
  • Fax:
Mailing address:
  • Phone: 719-480-3864
  • Fax:

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: WHITNEY CARTER SHAW
Title or Position: MANAGING MEMBER
Credential: RN
Phone: 719-480-3864