Healthcare Provider Details

I. General information

NPI: 1831680073
Provider Name (Legal Business Name): ATLANTIC CARE ACQUISITION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2018
Last Update Date: 06/12/2024
Certification Date: 06/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3663 15TH AVE
VERO BEACH FL
32960-4868
US

IV. Provider business mailing address

1000 GATES AVE
BROOKLYN NY
11221-6295
US

V. Phone/Fax

Practice location:
  • Phone: 772-567-2552
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: LEOPOLD FRIEDMAN
Title or Position: MANAGER
Credential:
Phone: 718-852-7000