MEDICARE: ATLANTIS COORDINATED 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	251X00000X	Supports Brokerage Agency
2	251B00000X	Case Management Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1699234112
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ATLANTIS COORDINATED SERVICES LLC

Provider Business Mailing Address
First Line	:	1621 CARPENTER ST UNIT 1
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19146-2005
Country	:	US
Telephone Number	:	267-780-3093
Fax Number	:	267-367-5550

Provider Business Practice Location Address
First Line	:	1621 CARPENTER ST UNIT 1
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19146-2005
Country	:	US
Telephone Number	:	267-780-3093
Fax Number	:	267-367-5550

Authorized Official
Title or Position	:	DIRECTOR
Name	:	NICHOLAS MORELLI
Credential	:
Telephone Number	:	267-780-3093

Provider Enumeration Date	:	03/14/2019
Last Update Date	:	03/14/2019

Similar Medicare Providers

1790210243 — AMY SILVERMAN
Practice Location Address:

2005 FITZWATER ST , 2F
PHILADELPHIA, PA
19146-1332

Practice Phone: 516-316-4467
Practice Fax:

1821026113 — DR. DALE MASON MANDEL MD
Practice Location Address:

2005 BRANDYWINE ST
PHILADELPHIA, PA
19130-3204

Practice Phone: 215-241-4480
Practice Fax:

1366450702 — MR. BRADLEY PAUL WHITE RPH
Practice Location Address:

551 W HIGH AVE
NEW PHILADELPHIA, OH
44663-2005

Practice Phone: 330-339-4466
Practice Fax: 330-339-9007

1265512461 — JANICE BEVERLY MARCINIAK R.PH.
Practice Location Address:

551 W HIGH AVE
NEW PHILADELPHIA, OH
44663-2005

Practice Phone: 303-394-4663
Practice Fax: 303-399-0073

1336311372 — MS. TASSHENIA BERNICE BALLOW M.P.T.
Practice Location Address:

2718 N 8TH ST
PHILADELPHIA, PA
19133-2005

Practice Phone: 215-492-1079
Practice Fax: 215-492-1083

1851550081 — NOEL S DIORIO LMFT
Practice Location Address:

1 COMMERCE SQ , 2005 MARKET STREET, SUITE 3140
PHILADELPHIA, PA
19103-7042

Practice Phone: 215-696-3678
Practice Fax: 215-636-9979

Directions to “ATLANTIS COORDINATED SERVICES LLC ” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.