ATLANTICARE HEALTH SERVICES, INC. – NPI #1497704845
Clinic/Center

ATLANTICARE HEALTH SERVICES, INC. is an AHC clinic located in ATLANTIC CITY, NJ. NPPES has assigned the NPI number 1497704845 to ATLANTICARE HEALTH SERVICES, INC. on May 10, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. ATLANTICARE HEALTH SERVICES, INC. is also known by the name ATLANTICARE HEALTH SERVICES - COVENANT HOUSE. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 4 years ago on Nov 09, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ATLANTICARE HEALTH SERVICES, INC. below.

NPI Profile for
ATLANTICARE HEALTH SERVICES, INC.

NPI Number
1497704845
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ATLANTICARE HEALTH SERVICES, INC.
Other Name: ATLANTICARE HEALTH SERVICES - COVENANT HOUSE
Primary location
929 ATLANTIC AVE
ATLANTIC CITY, NJ 08401
Phone: (609) 348-4070 Fax: (609) 348-1122
Mailing address
1401 ATLANTIC AVE STE 1125
ATLANTIC CITY, NJ 08401-7001
Phone: (609) 572-6002 Fax: (609) 572-6001
Organization Subpart
Yes - ATLANTICARE HEALTH SERVICES, INC. is subpart of another organization.
Authorized Official
CHRISTOPHER APGAR
DIRECTOR OF FINANCE/CFO
Phone: (609) 572-6006
Updated
Certification Date
Nov 09, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for ATLANTICARE HEALTH SERVICES, INC.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERCMS-CLIANJ31D0965041
OTHERHORIZON HEALTH HMONJ60019117
MEDICAIDNJ0028592
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)
261Q00000X
- Clinic/Center		 NJ

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.