NPIMap

Organization Active NPI

Atlantic Health Care, LLC

  • Home Health Agency
  • South Bend, IN
National Provider Identifier
1356985741
Registry record updated Oct 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ATLANTIC HEALTH CARE, LLC
Practice address
2630 Prairie Ave Apt G208
South Bend, IN 46614-4289
Phone
(574) 931-0806
Fax
(574) 233-9565
NPI assigned
Oct 29, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2019

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

Authorized official

Name
Trina McPherson
Title
Vice President
Phone
(574) 913-0806

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2630 Prairie Ave Apt G208
South Bend, IN 46614-4289

Mailing address

2630 Prairie Ave Apt G208
South Bend, IN 46614-4289
Phone (574) 931-0806

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1572307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572393600000",
    "number": "1356985741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2630 PRAIRIE AVE APT G208",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466144289",
            "telephone_number": "574-931-0806",
            "fax_number": "574-233-9565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 PRAIRIE AVE APT G208",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466144289",
            "telephone_number": "574-931-0806",
            "fax_number": "574-233-9565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-29",
        "last_updated": "2019-10-30",
        "status": "A",
        "authorized_official_last_name": "MCPHERSON",
        "authorized_official_first_name": "TRINA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "574-913-0806"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Bend, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; 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.