Atlantic Care Services Clermont LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ATLANTIC CARE SERVICES CLERMONT LLC

Practice address

15430 County Road 565a Ste P
Groveland, FL 34736-8243

Phone

(407) 270-5501

Fax

(407) 559-8971

NPI assigned

Sep 30, 2020

Organization subpart

No

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

Authorized official

Name

Jason T Coons

Title

Owner

Phone

(407) 484-2972

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1601424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601424000000",
    "number": "1508473745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15430 COUNTY ROAD 565A STE P",
            "city": "GROVELAND",
            "state": "FL",
            "postal_code": "347368243",
            "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": "15430 COUNTY ROAD 565A STE P",
            "city": "GROVELAND",
            "state": "FL",
            "postal_code": "347368243",
            "telephone_number": "407-270-5501",
            "fax_number": "407-559-8971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC CARE SERVICES CLERMONT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-30",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A",
        "authorized_official_last_name": "COONS",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-484-2972"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

Verify at the official NPI Registry.