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ATLANTIC CARE SERVICES LLC NPI 1124526405


NPI Information

NPI: 1124526405
Provider Name: ATLANTIC CARE SERVICES LLC
Classification: Technician - 3747A0650X
Entity Type: Organization

Specialization: Attendant Care Provider

CLIA Number: 10D2280774

Address:
163 E MORSE BLVD STE 105
WINTER PARK, FL
ZIP 32789
Phone: (407) 484-2972
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ATLANTIC CARE SERVICES LLC is an attendant care provider technician in Winter Park, FL. The provider is an individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. ATLANTIC CARE SERVICES LLC NPI is 1124526405. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

163 E MORSE BLVD STE 105
WINTER PARK, FL
ZIP 32789-415
Phone: (407) 484-2972
Fax: (407) 559-8971

The provider's authorized official is Jason T Coons .
The authorized official title is Owner and has the following contact phone number (407) 484-2972.

The CLIA number assigned to this NPI record is 10D2280774 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/31/2018 and was last updated on 9/27/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1164W00000XLicensed Practical NurseNo
2251E00000XHome HealthNo
3251J00000XNursing CareNo
4364SH0200XClinical Nurse SpecialistHome HealthNo
5374U00000XHome Health AideNo
63747A0650XTechnicianAttendant Care ProviderYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1100666300MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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