MEDICARE: ATM HOME HEALTH CARE SERVICES 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	:	1225721012
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ATM HOME HEALTH CARE SERVICES LLC

Provider Business Mailing Address
First Line	:	1809 W OREGON AVE STE 203
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19145-3700
Country	:	US
Telephone Number	:	267-239-5154
Fax Number	:

Provider Business Practice Location Address
First Line	:	1809 W OREGON AVE STE 203
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19145-3700
Country	:	US
Telephone Number	:	267-239-5154
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	JOY SANTOS-KHALIL
Credential	:
Telephone Number	:	713-280-6967

Provider Enumeration Date	:	05/30/2023
Last Update Date	:	05/30/2023

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