Provider Demographics
NPI:1346273992
Name:ATLANTIC HEALTH CARE MANAGEMENT COMPANY INC
Entity Type:Organization
Organization Name:ATLANTIC HEALTH CARE MANAGEMENT COMPANY INC
Other - Org Name:CORAL GABLES CONVALESCENT CTR
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT/ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JON
Authorized Official - Middle Name:HARRON
Authorized Official - Last Name:STEINMEYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-261-1363
Mailing Address - Street 1:7060 SW 8TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-4650
Mailing Address - Country:US
Mailing Address - Phone:305-261-1363
Mailing Address - Fax:305-269-5115
Practice Address - Street 1:7060 SW 8TH STREET
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144
Practice Address - Country:US
Practice Address - Phone:305-261-1363
Practice Address - Fax:305-269-5115
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-08
Last Update Date:2008-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSNF1103096314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL105005Medicare Oscar/Certification