MEDICARE: CONSULT ATLAS FOUNDATION

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency
2	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1043192438
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CONSULT ATLAS FOUNDATION

Provider Business Mailing Address
First Line	:	15150 W PARK PL STE 215
Second Line	:
City	:	GOODYEAR
State	:	AZ
Zip	:	85395-2386
Country	:	US
Telephone Number	:	425-900-5999
Fax Number	:

Provider Business Practice Location Address
First Line	:	15150 W PARK PL STE 215
Second Line	:
City	:	GOODYEAR
State	:	AZ
Zip	:	85395-2386
Country	:	US
Telephone Number	:	425-900-5999
Fax Number	:

Authorized Official
Title or Position	:	FOUNDER
Name	:	MR. MICHAEL KAPOUSTIN
Credential	:
Telephone Number	:	425-900-5999

Provider Enumeration Date	:	07/24/2025
Last Update Date	:	12/03/2025

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Directions to “CONSULT ATLAS FOUNDATION ” Practice Location

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