- Enrollment id
- O20230911001586
- Enrollment state
- TX
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1881379113
- Multiple npi flag
- N
- Ccn
- 747814
- Associate id
- 9830564202
- Organization name
- ATLAS HEALTH, LLC
- Incorporation date
- 2023-05-26
- Incorporation state
- TX
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 3201 CHERRY RIDGE DR
- Address line 2
- STE B220
- City
- SAN ANTONIO
- State
- TX
- Zip code
- 782304823