Provider Demographics
NPI:1669181632
Name:ATM HOMECARE, LLC
Entity type:Organization
Organization Name:ATM HOMECARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:APRIL JOY
Authorized Official - Middle Name:
Authorized Official - Last Name:SANTOS-KHALIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-280-6967
Mailing Address - Street 1:8710 KREWSTOWN RD
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19115-4803
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1809 W OREGON AVE STE 203
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19145-3700
Practice Address - Country:US
Practice Address - Phone:267-239-5154
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-18
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care