NPI 1659018000 · live from the CMS NPI Registry
Atia Healthcare Professionals
In Home Supportive Care in Childersburg, AL. National Provider Identifier 1659018000, active.
NPI record
| NPI | 1659018000 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | In Home Supportive Care 253Z00000X |
| Practice location | 105 Coosa Pines Dr, Childersburg, AL 35044 |
| Practice phone | 256-346-1920 |
| Mailing address | 113 Sitton Cir, Sterrett, AL 35147 |
| Enumerated | May 17, 2022 |
| Last updated | May 17, 2022 |
| Authorized official | Carmeletha Ford, Ceo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health | 251E00000X | — |
| Custodial Care Facility, Adult Care Home | 311ZA0620X | — |
| Hospice Care, Community Based | 251G00000X | — |
| Nursing Care | 251J00000X | — |
| Assisted Living Facility | 310400000X | — |
| Custodial Care Facility | 311Z00000X | — |
| In Home Supportive Care primary | 253Z00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.