Organization Active NPI

Atlantic Home Care Services Corp.

  • Home Health Agency
  • Doral, FL
National Provider Identifier
1104911064
Registry record updated Jan 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
299991739 Issued in FL
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

Updated by the provider on Jan 6, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
651044200MedicaidFL

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.