Provider Demographics
NPI:1619227923
Name:ATLANTICARE NURSING SERVICES INC.
Entity Type:Organization
Organization Name:ATLANTICARE NURSING SERVICES INC.
Other - Org Name:ATLANTICARE NURSING SERVICES D.B.A. NAUTILUS SENIOR HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BUCK
Authorized Official - Middle Name:
Authorized Official - Last Name:BROGDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-637-4242
Mailing Address - Street 1:2061 NW 2ND AVE STE 203
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-6774
Mailing Address - Country:US
Mailing Address - Phone:561-637-4242
Mailing Address - Fax:561-637-4290
Practice Address - Street 1:2061 NW 2ND AVE STE 203
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-6774
Practice Address - Country:US
Practice Address - Phone:561-637-4242
Practice Address - Fax:561-637-4290
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-13
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL30211080251E00000X
FL30211365251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health