Healthcare Provider Details

I. General information

NPI: 1346273992
Provider Name (Legal Business Name): ATLANTIC HEALTH CARE MANAGEMENT COMPANY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2006
Last Update Date: 01/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7060 SW 8TH STREET
MIAMI FL
33144
US

IV. Provider business mailing address

7060 SW 8TH ST
MIAMI FL
33144-4650
US

V. Phone/Fax

Practice location:
  • Phone: 305-261-1363
  • Fax: 305-269-5115
Mailing address:
  • Phone: 305-261-1363
  • Fax: 305-269-5115

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License NumberSNF1103096
License Number StateFL

VIII. Authorized Official

Name: MR. JON HARRON STEINMEYER
Title or Position: PRESIDENT/ADMINISTRATOR
Credential:
Phone: 305-261-1363