Provider Demographics
NPI:1851984934
Name:ATLANTIC CITY HOME CARE LLC
Entity Type:Organization
Organization Name:ATLANTIC CITY HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR CARE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHIRAG
Authorized Official - Middle Name:J
Authorized Official - Last Name:RAY
Authorized Official - Suffix:
Authorized Official - Credentials:CSCM
Authorized Official - Phone:609-549-8272
Mailing Address - Street 1:707 WHITE HORSE PIKE STE A5
Mailing Address - Street 2:
Mailing Address - City:ABSECON
Mailing Address - State:NJ
Mailing Address - Zip Code:08201-1459
Mailing Address - Country:US
Mailing Address - Phone:609-549-8272
Mailing Address - Fax:609-503-4014
Practice Address - Street 1:707 WHITE HORSE PIKE STE A5
Practice Address - Street 2:
Practice Address - City:ABSECON
Practice Address - State:NJ
Practice Address - Zip Code:08201-1459
Practice Address - Country:US
Practice Address - Phone:609-549-8272
Practice Address - Fax:609-503-4014
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-18
Last Update Date:2021-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care