Healthcare Provider Details

I. General information

NPI: 1720675614
Provider Name (Legal Business Name): ATLAS HOME HEALTH SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/24/2020
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

635 PARK MEADOW RD STE 205
WESTERVILLE OH
43081-2877
US

IV. Provider business mailing address

635 PARK MEADOW RD STE 205
WESTERVILLE OH
43081-2877
US

V. Phone/Fax

Practice location:
  • Phone: 614-423-8783
  • Fax:
Mailing address:
  • Phone: 614-598-9689
  • Fax: 614-392-5554

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: ABDIHABIB A MIRE
Title or Position: CEO
Credential: CEO
Phone: 614-598-9689