MEDICARE: ATKINS IN HOME CARE, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	253Z00000X	In Home Supportive Care Agency
2	251G00000X	Community Based Hospice Care Agency
3	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1477868222
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ATKINS IN HOME CARE, LLC

Provider Business Mailing Address
First Line	:	1209 RIDGE AVE
Second Line	:	3RD FLR
City	:	PHILADELPHIA
State	:	PA
Zip	:	19123-3204
Country	:	US
Telephone Number	:	215-526-8431
Fax Number	:

Provider Business Practice Location Address
First Line	:	5045 TULIP ST
Second Line	:	UNIT 2
City	:	PHILADELPHIA
State	:	PA
Zip	:	19124-2252
Country	:	US
Telephone Number	:	215-526-8431
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. KAREEMAH NAFEESAH ATKINS
Credential	:	LPN
Telephone Number	:	215-526-8431

Provider Enumeration Date	:	08/17/2010
Last Update Date	:	06/07/2012

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