ATIC LLC (NPI# 1053706564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053706564 |
| Entity Type | Organization |
| Organization Name | ATIC LLC |
| Practice Address |
4041 Eagle Dr Heartland TX 75126-8402 |
| Practice Telephone | 9728167861 |
| Mailing Telephone | 9728167861 |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2015-04-01 |
| Authorized Official Name | LETICIA C GREEN (CEO) |
| Authorized Official Telephone | 9728167861 |
| Authorized Official Credential | B.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | TX | Agencies |
| Street Address |
4041 EAGLE DR |
| City | HEARTLAND |
| State | TX |
| Zip Code | 75126-8402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083215339 | Stuart Frey | Pharmacist | 802 East Us Hwy 80, Forney, Forney, TEXAS 75126 | 2020-11-03 |
| 1689209975 | Steffani Wooley | Counselor | 106 S. Bois D'arc St., Forney, TX 75126 | 2020-03-06 |
| 1578123402 | Carrie Viola Phillips | Clinical Nurse Specialist | 9478 Homestead Ln., Forney, TX 75126 | 2019-06-13 |
| 1801451901 | Interventional Partners LLC | Podiatrist | 124 East Hwy 80, Ste. 104, Forney, TX 75126 | 2019-05-03 |
| 1881164937 | Precision Sports Physical Therapy | Physical Therapist | 757 E Highway 80, Suite 160, Forney, TX 75126 | 2018-12-03 |
| 1336621374 | Grace Nkolika Ilonuba | Registered Nurse | 1518 Wheatley Way, Forney, TX 75126 | 2018-09-06 |
| 1497235691 | Tanya Jean Antonisse-irwin | Speech-Language Pathologist | 1023 Kimbro Drive, Forney, TX 75126 | 2018-08-16 |
| 1912490491 | Rachel Caroline Casebolt | Counselor | 112 S Bois D Arc St, Forney, TX 75126 | 2018-06-11 |
| 1730676735 | Forney Mirror Lake Dentistry Pllc | Clinic/Center | 845 N. Fm 548, Suite 150, Forney, TX 75126 | 2018-04-16 |
| 1316449366 | Don A Hunt-ford Jr. | Day Training, Developmentally Disabled Services | 2016 Angel Way, Forney, TN 75126 | 2018-03-06 |
| Find all providers in zip 75126 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790384121 | Texas Agapecare, LLC | Day Training, Developmentally Disabled Services | 2211 N Lamar St Ste 225, Dallas, TX 75202-1005 | 2020-10-17 |
| 1467067538 | Jacorea Breon Taylor | Day Training, Developmentally Disabled Services | 1727 Park Oak Dr, Conroe, TX 77304-1777 | 2020-09-15 |
| 1184247926 | Two Hands Pllc | Day Training, Developmentally Disabled Services | 3945 Braxton Dr Ste 1, Houston, TX 77063 | 2020-05-27 |
| 1073152823 | Together We Care | Day Training, Developmentally Disabled Services | 507c S Lake Dallas Dr, Lake Dallas, TX 75065-2778 | 2019-12-26 |
| 1679118863 | Eric L Middleton | Day Training, Developmentally Disabled Services | 1701 Lennox Ave, Killeen, TX 76549-2147 | 2019-11-12 |
| 1538702576 | Karehab LLC | Day Training, Developmentally Disabled Services | 1034 1st St E, Humble, TX 77338-4778 | 2019-10-22 |
| 1609418110 | Damswill Care Services, LLC | Day Training, Developmentally Disabled Services | 103 Carlie Way, Stafford, TX 77477-5239 | 2019-10-16 |
| 1427690692 | Treasured Hearts Life Skills Activity Center | Day Training, Developmentally Disabled Services | 914 N Dallas Ave, Lancaster, TX 75146-1616 | 2019-10-09 |
| 1093366882 | Pamela Ann Knebel | Day Training, Developmentally Disabled Services | 2106 Huisache St, Brenham, TX 77833-5818 | 2019-09-24 |
| 1871143800 | Sonya Lorraine Townsend | Day Training, Developmentally Disabled Services | 12814 Hawthorne Shores Dr, Houston, TX 77044-1255 | 2019-09-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.