Provider Demographics
NPI:1437322344
Name:ATOCHA HOME HEALTH CARE, INC.
Entity type:Organization
Organization Name:ATOCHA HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:LUIS
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-298-3632
Mailing Address - Street 1:1000 PONCE DE LEON BLVD
Mailing Address - Street 2:SUITE 308
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-3353
Mailing Address - Country:US
Mailing Address - Phone:786-298-3632
Mailing Address - Fax:
Practice Address - Street 1:1000 PONCE DE LEON BLVD
Practice Address - Street 2:SUITE 308
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-3353
Practice Address - Country:US
Practice Address - Phone:786-298-3632
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-11
Last Update Date:2008-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility