Active NPI
Atlantic Home Care Services Corp.
- Home Health Agency
- Doral, FL
National Provider Identifier
1104911064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 299991739
- Legal business name
- ATLANTIC HOME CARE SERVICES CORP.
- Practice address
- 3785 NW 82ND Ave Ste 317
Doral, FL 33166-6631 - Phone
- (786) 331-8143
- Fax
- (786) 331-8348
- NPI assigned
- Oct 4, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jose Trigoso
- Title
- President
- Phone
- (786) 331-8143
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 299991739 | FL | Primary |
Addresses
Primary practice location
3785 NW 82ND Ave Ste 317
Doral, FL 33166-6631
Mailing address
3785 NW 82ND Ave Ste 317
Doral, FL 33166-6631
Phone (786) 331-8143
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 651044200 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
3785 NW 82nd Ave
Ste 317
Doral, FL 33166
Phone (786) 331-8143
1150 NW 72nd Ave
#720A
Miami, FL 33126
Phone (786) 621-4566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1262736000000",
"number": "1104911064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3785 NW 82ND AVE STE 317",
"city": "DORAL",
"state": "FL",
"postal_code": "331666631",
"telephone_number": "786-331-8143",
"fax_number": "786-331-8348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3785 NW 82ND AVE STE 317",
"city": "DORAL",
"state": "FL",
"postal_code": "331666631",
"telephone_number": "786-331-8143",
"fax_number": "786-331-8348"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATLANTIC HOME CARE SERVICES CORP.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-04",
"last_updated": "2010-01-06",
"status": "A",
"authorized_official_last_name": "TRIGOSO",
"authorized_official_first_name": "JOSE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "786-331-8143",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "FL",
"license": "299991739",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "651044200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Doral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.