Atlanticare Health Services, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

22853 Issued in NJ

Legal business name

ATLANTICARE HEALTH SERVICES, INC.

Practice address

6550 Delilah Rd.
Suite 210
Egg Harbor TWP, NJ 08234-5142

Phone

(609) 407-2020

Fax

(609) 407-2021

NPI assigned

Sep 12, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Debra Meredith

Title

Director

Phone

(609) 407-2020

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• AtlantiCare Hospice and Palliative Care Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• LHCG Cxliv, LLC

  • Community Based Hospice Care Agency
  • Egg Harbor Township, NJ
  • NPI 1720541071

  Sold to, 2019-06-01

  CMS change of ownership

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294358400000",
    "number": "1699760157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6550 DELILAH RD",
            "address_2": "SUITE 210",
            "city": "EGG HARBOR TWP",
            "state": "NJ",
            "postal_code": "082345142",
            "telephone_number": "609-407-2020",
            "fax_number": "609-407-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6550 DELILAH RD.",
            "address_2": "SUITE 210",
            "city": "EGG HARBOR TWP",
            "state": "NJ",
            "postal_code": "082345142",
            "telephone_number": "609-407-2020",
            "fax_number": "609-407-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTICARE HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-12",
        "last_updated": "2011-01-07",
        "status": "A",
        "authorized_official_last_name": "MEREDITH",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "609-407-2020",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NJ",
            "license": "22853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5060508",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AtlantiCare Hospice and Palliative Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Christine Bincarousky, LPN
• Monica Black, LPN

• Community Based Hospice Care Agency in Egg Harbor TWP, NJ
• Providers in Egg Harbor TWP, NJ by specialty
• Community Based Hospice Care Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.