Provider Demographics
NPI:1508212853
Name:ATLANTIC CAPE HOME CARE
Entity Type:Organization
Organization Name:ATLANTIC CAPE HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:
Authorized Official - Last Name:POPILOCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-425-3643
Mailing Address - Street 1:1028 ASBURY AVE
Mailing Address - Street 2:
Mailing Address - City:OCEAN CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:08226-3330
Mailing Address - Country:US
Mailing Address - Phone:609-399-4788
Mailing Address - Fax:609-525-0242
Practice Address - Street 1:1028 ASBURY AVE
Practice Address - Street 2:
Practice Address - City:OCEAN CITY
Practice Address - State:NJ
Practice Address - Zip Code:08226-3330
Practice Address - Country:US
Practice Address - Phone:609-399-4788
Practice Address - Fax:609-525-0242
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-05
Last Update Date:2016-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0219200251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health