Organization Active NPI

Atlantic Care Home Health Tampa LLC

  • In Home Supportive Care Agency
  • Tampa, FL
National Provider Identifier
1124728399
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ATLANTIC CARE HOME HEALTH TAMPA LLC
Practice address
4830 W Kennedy Blvd Ste 600
Tampa, FL 33609-2584
Phone
(407) 484-2972
Fax
(407) 559-8971
NPI assigned
Mar 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Authorized official

Name
Jason Terence Coons
Title
Owner
Phone
(407) 484-2972

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

4830 W Kennedy Blvd Ste 600
Tampa, FL 33609-2584

Mailing address

2802 Aloma Ave Ste 201
Winter Park, FL 32792-3532
Phone (407) 270-5501

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2295990Atlantic Care Home Health Tampa LLC4830 W Kennedy Blvd - Ste 600, Tampa, FL 33609Certificate of waiverDec 19, 2027

National Provider Directory

National Provider Directory

Locations

651 E Main St
Ste 12
Haines City, FL 33844

NPI Registry JSON

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

{
    "created_epoch": "1678147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785369600000",
    "number": "1124728399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2802 ALOMA AVE STE 201",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327923532",
            "telephone_number": "407-270-5501",
            "fax_number": "407-559-8971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4830 W KENNEDY BLVD STE 600",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336092584",
            "telephone_number": "407-484-2972",
            "fax_number": "407-559-8971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC CARE HOME HEALTH TAMPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-07",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A",
        "authorized_official_last_name": "COONS",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "TERENCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-484-2972"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.