Provider Demographics
NPI:1174146682
Name:ATRIANON, LLC
Entity type:Organization
Organization Name:ATRIANON, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:PAULIN
Authorized Official - Middle Name:
Authorized Official - Last Name:PETION
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-779-1502
Mailing Address - Street 1:PO BOX 2193
Mailing Address - Street 2:
Mailing Address - City:VILLA RICA
Mailing Address - State:GA
Mailing Address - Zip Code:30180-6442
Mailing Address - Country:US
Mailing Address - Phone:516-779-1502
Mailing Address - Fax:
Practice Address - Street 1:9048 RIVER BEND CT
Practice Address - Street 2:
Practice Address - City:VILLA RICA
Practice Address - State:GA
Practice Address - Zip Code:30180-4157
Practice Address - Country:US
Practice Address - Phone:516-779-1502
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-19
Last Update Date:2020-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty
No314000000XNursing & Custodial Care FacilitiesSkilled Nursing FacilityGroup - Multi-Specialty