MEDICARE: ATLANTIC CARE HOME HEALTH LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003415035
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ATLANTIC CARE HOME HEALTH LLC

Provider Business Mailing Address
First Line	:	2802 ALOMA AVE STE 201
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32792-3532
Country	:	US
Telephone Number	:	407-270-5501
Fax Number	:	407-559-8971

Provider Business Practice Location Address
First Line	:	2802 ALOMA AVE STE 201
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32792-3532
Country	:	US
Telephone Number	:	407-270-5501
Fax Number	:	407-559-8971

Authorized Official
Title or Position	:	OWNER
Name	:	JASON COONS
Credential	:
Telephone Number	:	407-484-2972

Provider Enumeration Date	:	10/21/2020
Last Update Date	:	06/11/2026

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