Atlantic Care Services Haines City LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ATLANTIC CARE SERVICES HAINES CITY LLC

Practice address

651 E Main St Ste 12
Haines City, FL 33844-4241

Phone

(407) 270-5501

Fax

(407) 559-8971

NPI assigned

Sep 29, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Jason Coons

Title

Owner

Phone

(407) 484-2972

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1601337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604534400000",
    "number": "1851908388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 OAK LN",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328031533",
            "telephone_number": "407-484-2972",
            "fax_number": "407-559-8971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 E MAIN ST STE 12",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338444241",
            "telephone_number": "407-270-5501",
            "fax_number": "407-559-8971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC CARE SERVICES HAINES CITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-29",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A",
        "authorized_official_last_name": "COONS",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-484-2972",
        "authorized_official_name_prefix": "Mr."
    },
    "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108212400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Haines City, FL
• Providers in Haines City, FL by specialty
• Home Health Agency in Florida

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