ATLANTIC HOME HEALTH CARE, LLC
NPI 1003976705
Home Health in Safford, AZ

Active since December 11, 2006CLIA 06D2164415 · Waiver
1280 S 20TH AVE STE A, SAFFORD, AZ 85546(928) 792-4354 Get Directions Write a Review

NPPES record last updated: December 12, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Atlantic Home Health Care, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ATLANTIC HOME HEALTH CARE, LLC (NPI 1003976705) is a healthcare organization registered as a home health in Safford, Arizona and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through April 3, 2027 and lists Kristi Jackson, Director Of Clinical Services, as its authorized official.

NPPES Registry Identity

NPI1003976705
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameATLANTIC HOME HEALTH CARE, LLC
Location Address1280 S 20TH AVE STE ASafford, AZ 85546-3378
Mailing Address885 Penniman Ave Unit 6426Plymouth, MI 48170-7722 · (888) 891-0786
Organization SubpartNo
Authorized OfficialKristi JacksonDirector Of Clinical Services · (941) 257-4285
Enumeration DateDecember 11, 2006
Last NPPES UpdateDecember 12, 2022
NPPES CertifiedDecember 12, 2022
NPI 1003976705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
License Licensed in AZ · HHA4225
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Also ListedHealth Maintenance OrganizationTaxonomy 302R00000X · License L13170568 (AZ)
1280 S 20TH AVE STE A, Safford, AZ 85546

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 06D2164415

Atlantic Home Health Care, LLC Dba - Haven Home Health Care · Cortez, CO
Active · expires Apr 3, 2027
CLIA Number06D2164415
Laboratory TypeHome Health Agency
Certificate Effective DateApril 4, 2025
Certificate Expiration DateApril 3, 2027
Laboratory DirectorMatthew Saagman
Laboratory Phone(888) 891-0786
Laboratory LocationAtlantic Home Health Care, LLC Dba - Haven Home Health Care215 N Linden St E-South, Cortez, CO 81321
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Atlantic Home Health Care, LLC's NPI number?

The NPI number for Atlantic Home Health Care, LLC is 1003976705. It was assigned to this organization in the NPPES registry on December 11, 2006.

Where is Atlantic Home Health Care, LLC located?

Atlantic Home Health Care, LLC is located at 1280 S 20th Ave Ste A, Safford, AZ 85546. The listed phone number is (928) 792-4354.

What is Atlantic Home Health Care, LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Atlantic Home Health Care, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D2164415) is associated with this NPI, valid through April 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Atlantic Home Health Care, LLC was last updated on December 12, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.