Organization Active NPI

Atlantic Home Health Care, LLC

  • Home Health Agency
  • Safford, AZ
National Provider Identifier
1003976705
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HHA4225 Issued in AZ
Legal business name
ATLANTIC HOME HEALTH CARE, LLC
Practice address
1280 S 20TH Ave Ste a
Safford, AZ 85546-3378
Phone
(928) 792-4354
NPI assigned
Dec 11, 2006
Last updated
Dec 12, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kristi Jackson
Title
Director of Clinical Services
Phone
(941) 257-4285

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HHA4225 AZ Primary
Health Maintenance Organization 302R00000X L13170568 AZ

Addresses

Primary practice location

1280 S 20TH Ave Ste a
Safford, AZ 85546-3378

Mailing address

885 Penniman Ave Unit 6426
Plymouth, MI 48170-7722
Phone (888) 891-0786

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1577 N Pinal Ave
Casa Grande, AZ 85122
Phone (480) 991-8200

10505 N 69th St
Ste 100
Scottsdale, AZ 85253
Phone (480) 227-8626

7418 E Helm Dr
#228
Scottsdale, AZ 85260
Phone (602) 790-3300

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670803200000",
    "number": "1003976705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 PENNIMAN AVE UNIT 6426",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481707722",
            "telephone_number": "888-891-0786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 S 20TH AVE STE A",
            "city": "SAFFORD",
            "state": "AZ",
            "postal_code": "855463378",
            "telephone_number": "928-792-4354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC HOME HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL SERVICES",
        "authorized_official_telephone_number": "941-257-4285"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AZ",
            "license": "HHA4225",
            "primary": true
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "AZ",
            "license": "L13170568",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Safford, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.