MEDICARE: ATLAS COMMUNITY CARE SD 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	:	1669336160
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ATLAS COMMUNITY CARE SD LLC

Provider Business Mailing Address
First Line	:	101 S REID ST STE 307
Second Line	:
City	:	SIOUX FALLS
State	:	SD
Zip	:	57103-7045
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	101 S REID ST STE 307
Second Line	:
City	:	SIOUX FALLS
State	:	SD
Zip	:	57103-7045
Country	:	US
Telephone Number	:	612-636-3060
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ABDALLA ASAD ALI
Credential	:
Telephone Number	:	612-636-3060

Provider Enumeration Date	:	12/10/2025
Last Update Date	:	12/10/2025

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