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NPI Code Detail

MEDICARE: THE ATLANTIS FOUNDATION

MEDICARE: THE ATLANTIS 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
1320900000XIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
2251B00000XCase Management Agency
3251J00000XNursing Care Agency
4251V00000XVoluntary or Charitable Agency

General Provider Information

NPI Number : 1215976295
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE ATLANTIS FOUNDATION
Provider Business Mailing Address
First Line : 1105 N MEYER RD
Second Line :
City : SEABROOK
State : TX
Zip : 77586-3535
Country : US
Telephone Number : 281-474-1430
Fax Number :
Provider Business Practice Location Address
First Line : 1105 N MEYER RD
Second Line :
City : SEABROOK
State : TX
Zip : 77586-3535
Country : US
Telephone Number : 281-474-1430
Fax Number :
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MR. THOMAS JOHN HENNEN
Credential :
Telephone Number : 281-474-1430
Provider Enumeration Date : 06/06/2006
Last Update Date : 09/11/2025

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Directions to “THE ATLANTIS FOUNDATION ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.