MEDICARE: ATALLAH HEALTH CARE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	133N00000X	Nutritionist
2	376K00000X	Nurse's Aide
3	171400000X	Health & Wellness Coach

General Provider Information

NPI Number	:	1043174634
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ATALLAH HEALTH CARE INC

Provider Business Mailing Address
First Line	:	6792 TRIBBLE ST STE 23
Second Line	:
City	:	LITHONIA
State	:	GA
Zip	:	30058-4684
Country	:	US
Telephone Number	:	404-446-3639
Fax Number	:

Provider Business Practice Location Address
First Line	:	6792 TRIBBLE ST STE 23
Second Line	:
City	:	LITHONIA
State	:	GA
Zip	:	30058-4684
Country	:	US
Telephone Number	:	404-446-3639
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MS. TACQUORA LASHAE MIXON
Credential	:	CNA,CMA
Telephone Number	:	404-692-8860

Provider Enumeration Date	:	12/10/2025
Last Update Date	:	12/10/2025

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Directions to “ATALLAH HEALTH CARE INC ” Practice Location

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