# ATLANTIC HOME CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740785526
- **Authorized official:** HABTAMU TIGABU RN (EXCUTIVE DIRECTOR)
- **Authorized official phone:** (240) 490-0176

## Contact information

- **Practice address:** 706 E GUDE DR UNIT A, ROOM 1, ROCKVILLE, MD 20850-8317
- **Practice address phone:** (240) 490-0176
- **Mailing address:** 10 SNUG HILL CT, POTOMAC, MD 20854-4053
- **Mailing address phone:** (240) 490-0176

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 3140N1450X | Pediatric Skilled Nursing Facility | — | NULL | — |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 03/26/2018
- **Last updated:** 01/27/2025