Provider Demographics
NPI:1942662911
Name:AIRIS HEALTHCARE
Entity type:Organization
Organization Name:AIRIS HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DANDRE
Authorized Official - Middle Name:
Authorized Official - Last Name:GREEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-368-8655
Mailing Address - Street 1:5750 BROOK HOLLOW PKWY
Mailing Address - Street 2:
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30071-3504
Mailing Address - Country:US
Mailing Address - Phone:404-368-8655
Mailing Address - Fax:866-213-4854
Practice Address - Street 1:1455 ELVA DR SW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30331-7327
Practice Address - Country:US
Practice Address - Phone:404-368-8655
Practice Address - Fax:866-213-4854
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-28
Last Update Date:2016-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based