# ATLANTIC IN-HOME CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548638216
- **Authorized official:** GARY EVANS (CFO)
- **Authorized official phone:** (772) 462-6707

## Contact information

- **Practice address:** 240 NW PEACOCK BLVD STE 304, PORT SAINT LUCIE, FL 34986-2274
- **Practice address phone:** (772) 462-6707
- **Practice address fax:** (772) 462-6706
- **Mailing address:** 240 NW PEACOCK BLVD STE 304, PORT ST LUCIE, FL 34986-2274
- **Mailing address phone:** (772) 462-6707
- **Mailing address fax:** (772) 463-6706

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | NULL | — |
| 251E00000X | Home Health Agency | — | NULL | — |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | NR30211036 | FL | Yes |

## Other

- **Enumeration date:** 09/10/2015
- **Last updated:** 07/19/2022