Atlantic Healthcare & Concierge Services LLC

Primary specialty

Nurse's AideTaxonomy code 376K00000X

Legal business name

ATLANTIC HEALTHCARE & CONCIERGE SERVICES LLC

Practice address

500 Lanier Ave W Ste 910a
Fayetteville, GA 30214-7641

Phone

(404) 937-3738

Fax

(877) 334-0635

NPI assigned

Aug 11, 2019

Last updated

Aug 11, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Abibatu Abigal Thomas Asante

Title

Owner

Phone

(404) 455-8979

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1565481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565481600000",
    "number": "1558917153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1316",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302146316",
            "telephone_number": "404-937-3738",
            "fax_number": "877-334-0635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 LANIER AVE W STE 910A",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147641",
            "telephone_number": "404-937-3738",
            "fax_number": "877-334-0635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC HEALTHCARE & CONCIERGE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-11",
        "last_updated": "2019-08-11",
        "status": "A",
        "authorized_official_last_name": "THOMAS ASANTE",
        "authorized_official_first_name": "ABIBATU",
        "authorized_official_middle_name": "ABIGAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-455-8979"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nurse's Aide in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Nurse's Aide in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.