Active NPI
Atlantic Healthcare Center Inc
- Skilled Nursing Facility
- Vero Beach, FL
National Provider Identifier
1346227055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- SNF1573096
- Legal business name
- ATLANTIC HEALTHCARE CENTER INC
- Practice address
- 3663 15TH Avenue
Vero Beach, FL 32960 - Phone
- (772) 567-2552
- Fax
- (772) 567-8929
- NPI assigned
- Dec 23, 2005
- Last updated
- Jul 16, 2014
- 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. Brian Reynolds
- Title
- Ceo
- Phone
- (410) 513-8738
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | SNF1573096 | FL | Primary |
Addresses
Primary practice location
3663 15TH Avenue
Vero Beach, FL 32960
Mailing address
3663 15TH Avenue
Vero Beach, FL 32960
Phone (772) 567-2552
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 211524 | Medicaid | FL |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135296000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1405468800000",
"number": "1346227055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3663 15TH AVENUE",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "32960",
"telephone_number": "772-567-2552",
"fax_number": "772-567-8929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3663 15TH AVENUE",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "32960",
"telephone_number": "772-567-2552",
"fax_number": "772-567-8929"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATLANTIC HEALTHCARE CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-23",
"last_updated": "2014-07-16",
"status": "A",
"authorized_official_last_name": "REYNOLDS",
"authorized_official_first_name": "BRIAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "410-513-8738",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "FL",
"license": "SNF1573096",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "211524",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vero Beach, FL
- Erol R Atamer, MD
- Christine Nicole Atkinson, MSN, APRN, PMHNP-BC
- Atlantic Care Acquisition LLC (Sea Breeze Rehab and Nursing Center)
- Atlantic Care and Rehabilitation Center, LLC
- Atlantic Coast Health Care, Inc (A Moment's Notice Health Care)
- Attentive Premier Caregivers, LLC
- Jeron Atwater
- John G Atwater, M.D.
- J Robin Atwell, MD
- Charlotte Atwill
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.