Provider Demographics
NPI:1457154718
Name:USRC GREATER ATLANTA HOME THERAPIES LLC
Entity type:Organization
Organization Name:USRC GREATER ATLANTA HOME THERAPIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHAIRMAN & PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:L
Authorized Official - Last Name:WEINBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-736-2730
Mailing Address - Street 1:1800 ROSWELL RD STE 1000
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30062-3983
Mailing Address - Country:US
Mailing Address - Phone:678-707-5613
Mailing Address - Fax:678-707-5619
Practice Address - Street 1:1800 ROSWELL RD STE 1000
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30062-3983
Practice Address - Country:US
Practice Address - Phone:678-707-5613
Practice Address - Fax:678-707-5619
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment