Provider Demographics
NPI:1316834518
Name:ATLANTIC CARE HOME HEALTH MIAMI LLC
Entity type:Organization
Organization Name:ATLANTIC CARE HOME HEALTH MIAMI LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:COONS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-270-5501
Mailing Address - Street 1:163 E MORSE BLVD STE 210
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-7415
Mailing Address - Country:US
Mailing Address - Phone:407-270-5501
Mailing Address - Fax:
Practice Address - Street 1:15450 NEW BARN RD.
Practice Address - Street 2:SUITE 200 #261
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33014
Practice Address - Country:US
Practice Address - Phone:407-270-5501
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-20
Last Update Date:2025-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health