MEDICARE: ATLANTA PREMIER HEALTHCARE LLC

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

General Provider Information

NPI Number	:	1134710940
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ATLANTA PREMIER HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	7207 NORTHLAKE HEIGHTS CIR NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30345-2262
Country	:	US
Telephone Number	:	404-457-2468
Fax Number	:

Provider Business Practice Location Address
First Line	:	3350 NORTHLAKE PKWY NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30345-2204
Country	:	US
Telephone Number	:	404-457-2468
Fax Number	:

Authorized Official
Title or Position	:	MANAGING PARTNER
Name	:	ABDIRASHID A ABDULLE
Credential	:
Telephone Number	:	404-457-2468

Provider Enumeration Date	:	02/03/2021
Last Update Date	:	02/03/2021

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