Organization Active NPI

Atlantic Healthcare Group Inc

  • Home Health Agency
  • Conway, SC
National Provider Identifier
1730116062
Registry record updated Aug 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ATLANTIC HEALTHCARE GROUP INC
Practice address
911 Creel St
Conway, SC 29527-5001
Phone
(843) 488-4001
Fax
(843) 488-4005
NPI assigned
Jun 26, 2006
Last updated
Aug 5, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2009

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

Authorized official

Name
Mr. Stephen Kempski
Title
Administrator
Phone
(843) 488-4001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

911 Creel St
Conway, SC 29527-5001

Mailing address

911 Creel St
Conway, SC 29527-5001
Phone (843) 488-4001

Other identifiers 1

IdentifierTypeStateIssuer
EX0189MedicaidSC

National Provider Directory

National Provider Directory

Locations

911 Creel St
Conway, SC 29527
Phone (843) 488-4001

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249430400000",
    "number": "1730116062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 CREEL ST",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295275001",
            "telephone_number": "843-488-4001",
            "fax_number": "843-488-4005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 CREEL ST",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295275001",
            "telephone_number": "843-488-4001",
            "fax_number": "843-488-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC HEALTHCARE GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2009-08-05",
        "status": "A",
        "authorized_official_last_name": "KEMPSKI",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "843-488-4001",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EX0189",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2009; 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.