ATLANTICARE HEALTH SERVICES, INC. (NPI# 1497704845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497704845 |
| Entity Type | Organization |
| Organization Name | ATLANTICARE HEALTH SERVICES, INC. |
| Other Organization Name | ATLANTICARE HEALTH SERVICES - COVENANT HOUSE |
| Practice Address |
929 Atlantic Ave Atlantic City NJ 08401 |
| Mailing Address |
65 W Jimmie Leeds Rd Attn Finance J Hoke Egg Harbor Twp NJ 08234-5549 |
| Practice Telephone | 6093484070 |
| Practice Fax Number | 6093481122 |
| Mailing Telephone | 6095697303 |
| Mailing Fax Number | 6092726251 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2018-05-15 |
| Authorized Official Name | MS. SANDY FESTA (EXEC DIR FQHC) |
| Authorized Official Telephone | 6095726051 |
| Authorized Official Credential | MSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | NJ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | HORIZON HEALTH HMO | 60019117 | 01 |
| NJ | 0028592 | 05 | |
| NJ | CMS-CLIA | 31D0965041 | 01 |
| Other Name | Type Code |
|---|---|
| AtlantiCare Health Services - Covenant House | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215987771 | Atlanticare Health Services, Inc. | Clinic/Center | 2009 Bacharach Blvd, Atlantic City, NJ 08401 | 2006-05-12 |
| 1699760157 | Atlanticare Health Services, Inc. | Hospice Care, Community Based | 6550 Delilah Rd., Suite 210, Egg Harbor Twp, NJ 08234-5142 | 2005-09-12 |
| 1053835546 | Atlanticare Health Services, Inc. | Pharmacy | 517 Route 72 W Ste G, Manahawkin, NJ 08050-2821 | 2017-07-27 |
| 1598207417 | Atlanticare Health Services, Inc. | PACE Provider Organization | 1401 Atlantic Ave, Atlantic City, NJ 08401-7022 | 2016-11-09 |
| 1477799294 | Atlanticare Health Services, Inc. | Dietitian, Registered | 2500 English Creek Ave, Suite 222, Egg Harbor Township, NJ 08234-5549 | 2008-12-29 |
| 1760527782 | Atlanticare Health Services, Inc. | Clinic/Center | 1401 Atlantic Ave, Atlantic City, NJ 08401 | 2007-02-20 |
| 1184798720 | Atlanticare Health Services, Inc. | Clinical Medical Laboratory | 6725 Ventnor Ave, Ventnor City, NJ 08406-2152 | 2006-11-17 |
| 1114936176 | Atlanticare Health Services, Inc. | Clinic/Center | 2500 English Creek Ave, Suite 908, Egg Harbor Twp, NJ 08234-5549 | 2006-08-07 |
| 1336157668 | Atlanticare Health Services, Inc. | Clinic/Center | 1401 Atlantic Ave, Suite 2200, Atlantic City, NJ 08401-7022 | 2006-08-03 |
| Street Address |
929 ATLANTIC AVE |
| City | ATLANTIC CITY |
| State | NJ |
| Zip Code | 08401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275133175 | Kristy Liekfet | Nurse Practitioner | Atlanticare Apg Palliative Care, 1925 Pacific Ave. 1st Flr, Atlantic City, NJ 08401 | 2020-10-29 |
| 1346716834 | Q Pharma Inc | Non-Pharmacy Dispensing Site | 3830 Atlantic Avenue, Atlantic City, NJ 08401 | 2018-10-23 |
| 1922597947 | Kara Nicole Bonsera | Nurse Practitioner | 1801 Atlantic Ave Fl 3, Atlantic City, NJ 08401 | 2018-05-04 |
| 1437605656 | John Brooks Recovery Center, A New Jersey Non-profit Corporation | Clinic/Center | 1931 Bacharach Blvd, Atlantic City, NJ 08401 | 2016-08-28 |
| 1265874051 | Mary K. Wilsbach | Social Worker | 1401 Atlantic Ave.suite 2200, Healthplex, Atlanticare Ambulatory Care Services;, Atlantic City, NJ 08401 | 2013-07-23 |
| 1326388133 | Atlantic City Board of Education | Local Education Agency (LEA) | 1300 Atlantic Avenue, 5th Floor, Atlantic City, NJ 08401 | 2013-02-15 |
| 1972818656 | Mittal H. Patel | Pharmacist | 1723 Pacific Ave, Atlantic City, NJ 08401 | 2010-08-18 |
| 1689803900 | America's Best Contacts & Eyeglasses | Technician/Technologist | 2109 Atlantic Ave., Ste. 1016, Atlantic City, NJ 08401 | 2009-07-08 |
| 1750536850 | Joel G. Weiss | Dentist | 3822 Ventnor Ave, Atlantic City, NJ 08401 | 2008-11-18 |
| 1982879631 | Angela Butcher | Nurse's Aide | 401 North Martin Luthur King Blvd, Atlantic City, NJ 08401 | 2008-04-24 |
| Find all providers in zip 08401 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972052504 | Jewish Family Service of Atlantic & Cape May Counties | Clinic/Center | 26 S Pennsylvania Ave, Atlantic City, NJ 08401-7306 | 2016-09-23 |
| 1215987771 | Atlanticare Health Services, Inc. | Clinic/Center | 2009 Bacharach Blvd, Atlantic City, NJ 08401 | 2006-05-12 |
| 1669698924 | Atlanticare Regional Medical Center | Clinic/Center | 1401 Atlantic Ave, Atlantic City, NJ 08401-7022 | 2007-04-17 |
| 1710013198 | Atlantic City Gynecology Group | Clinic/Center | 1616 Pacific Ave, Suite 316, Atlantic City, NJ 08401-6939 | 2007-02-27 |
| 1164558409 | Alternatives of New Jersey | Clinic/Center | 1616 Pacific Ave, Suite 316, Atlantic City, NJ 08401-6939 | 2007-02-23 |
| 1760527782 | Atlanticare Health Services, Inc. | Clinic/Center | 1401 Atlantic Ave, Atlantic City, NJ 08401 | 2007-02-20 |
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| 1497303044 | Sanni Ojibara Training Academy | Clinic/Center | 104 Hillside Ter, Irvington, NJ 07111-1514 | 2019-08-27 |
| 1457907404 | Vitality Wellness Group LLC | Clinic/Center | 1000 Sanger Ave Ste 211, Oceanport, NJ 07757-1241 | 2019-08-15 |
| 1760034292 | Optimally Nourished LLC | Clinic/Center | 303 Belmont Ave Ste 2, Belleville, NJ 07109-1103 | 2019-07-15 |
| 1881246676 | Acenda, Inc. | Clinic/Center | 1129 Route 9 S, Cape May Court House, NJ 08210-2752 | 2019-07-11 |
| Find all providers with the same taxonomy | ||||
| City | ATLANTIC CITY |
| Zip Code | 08401 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.