Healthcare Provider Details

I. General information

NPI: 1841135514
Provider Name (Legal Business Name): ATLANTICCARE HEALTH SYSTEM INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2026
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6550 DELILAH RD STE 301
EGG HARBOR TWP NJ
08234-5102
US

IV. Provider business mailing address

6550 DELILAH RD STE 301
EGG HARBOR TWP NJ
08234-5102
US

V. Phone/Fax

Practice location:
  • Phone: 609-573-1251
  • Fax:
Mailing address:
  • Phone: 609-573-1251
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State

VIII. Authorized Official

Name: SANDRA MILENA CHAVEZ
Title or Position: PEER SUPPORT SPECIALIST
Credential: CPRS-50146
Phone: 609-573-1251