=====================================================
General NPI Number Information
=====================================================
NPI Number | 1548415821
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ATRIUM HOME HEALTH SYSTEMS INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/30/2008
-----------------------------------------------------
Last Update Date | 03/17/2010
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6600 N LINCOLN AVE SUITE 200
-----------------------------------------------------
City | LINCOLNWOOD
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60712-3620
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 847-933-9832
-----------------------------------------------------
Fax | 847-933-9833
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6600 N LINCOLN AVE SUITE 200
-----------------------------------------------------
City | LINCOLNWOOD
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60712-3620
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 847-933-9832
-----------------------------------------------------
Fax | 847-933-9833
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMINISTRATOR
-----------------------------------------------------
Name | MS. ZENAIDA I GOY
-----------------------------------------------------
Credential | R.N.
-----------------------------------------------------
Telephone | 773-506-2085
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | 1010908
-----------------------------------------------------
License Number State | IL
-----------------------------------------------------