Active NPI
Atp Healthcare
- Case Management Agency
- Deland, FL
National Provider Identifier
1316543192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- ATP HEALTHCARE
- Practice address
- 406 E Kentucky Ave
Deland, FL 32724-2432 - Phone
- (138) 662-4566
- Fax
- (386) 279-7239
- NPI assigned
- Dec 8, 2020
- Last updated
- Dec 8, 2020
- 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. Timothy Sean Poore
- Title
- President/Ceo
- Phone
- (386) 624-5661
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | NU | Primary |
Addresses
Primary practice location
406 E Kentucky Ave
Deland, FL 32724-2432
Mailing address
406 E Kentucky Ave
Deland, FL 32724-2432
Phone (138) 662-4566
Other names 1
- ATP Healthcare
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607385600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1607385600000",
"number": "1316543192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "406 E KENTUCKY AVE",
"city": "DELAND",
"state": "FL",
"postal_code": "327242432",
"telephone_number": "138-662-4566",
"fax_number": "386-279-7239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "406 E KENTUCKY AVE",
"city": "DELAND",
"state": "FL",
"postal_code": "327242432",
"telephone_number": "138-662-4566",
"fax_number": "386-279-7239"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATP HEALTHCARE",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-08",
"last_updated": "2020-12-08",
"certification_date": "2020-12-08",
"status": "A",
"authorized_official_last_name": "POORE",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_middle_name": "SEAN",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "386-624-5661",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ATP Healthcare",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Deland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.