ATLANTIC CARE SERVICES SCOTTSDALE LLC - NPI 1710642228

Q: What is Atlantic Care Services Scottsdale LLC's specialty?

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

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About Atlantic Care Services Scottsdale Llc NPPES

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

ATLANTIC CARE SERVICES SCOTTSDALE LLC (NPI 1710642228) is a healthcare organization registered as a home health in Phoenix, Arizona and active in the NPI registry since November 2021. The organization lists Mark Gardner, Vp Of New Markets, as its authorized official.

NPPES Registry Identity

NPI1710642228

Entity TypeOrganization

Primary Taxonomy251E00000X

Legal Business NameATLANTIC CARE SERVICES SCOTTSDALE LLC

Location Address11201 N TATUM BLVD STE 300Phoenix, AZ 85028-6036

Mailing Address11201 N Tatum Blvd Ste 300Phoenix, AZ 85028-6036 · (407) 484-2972 · Fax (407) 559-8971

Phone(407) 484-2972

Fax(407) 559-8971

Organization SubpartNo

Authorized OfficialMark GardnerVp Of New Markets · (407) 739-7043

Enumeration DateNovember 1, 2021

Last NPPES UpdateApril 11, 20232 updates tracked since enumeration

NPPES CertifiedApril 11, 2023

✔ NPI 1710642228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies

Taxonomy Code251E00000X

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.

11201 N TATUM BLVD STE 300, Phoenix, AZ 85028

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Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. JESSICA MAE MOODY PHYSICIAN ASSISTANT

Physician Assistant (Medical)