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NPI Code Detail

MEDICARE: ATRIUM SNF OPERATING LLC

MEDICARE: ATRIUM SNF OPERATING 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
1314000000XSkilled Nursing Facility

Other Identifiers

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

General Provider Information

NPI Number : 1760009757
Entity Type Code : Organization
Provider Name (Legal Business Name) : ATRIUM SNF OPERATING LLC
Provider Business Mailing Address
First Line : 199 COMMUNITY DR
Second Line :
City : GREAT NECK
State : NY
Zip : 11021-5502
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9960 ATRIUM WAY
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32225-6487
Country : US
Telephone Number : 904-724-4726
Fax Number :
Authorized Official
Title or Position : ANALYST
Name : YOSEF GERSON
Credential :
Telephone Number : 516-737-0600
Provider Enumeration Date : 06/25/2020
Last Update Date : 08/07/2020

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Directions to “ATRIUM SNF OPERATING LLC ” Practice Location

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