COLEMAN CARE GIVERS LLC (NPI# 1508377383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508377383 |
| Entity Type | Organization |
| Organization Name | COLEMAN CARE GIVERS LLC |
| Practice Address |
706 Hillmont Dr Jackson MS 39209-6003 |
| Practice Telephone | 6012016807 |
| Mailing Telephone | 6012016807 |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | MISS SHUNDOBIE TOMEKA COLEMAN (OWNER) |
| Authorized Official Telephone | 6012016807 |
| Authorized Official Credential | LPN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 335215 | MS | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 1275939639 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COLEMAN CARE GIVERS LLC | 704 Hillmont Dr, Jackson, MS 39209-6003 |
| Street Address |
706 HILLMONT DR |
| City | JACKSON |
| State | MS |
| Zip Code | 39209-6003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235754995 | Oak Street Health Physicians Group of Mississippi, LLC | Family Medicine | 911 Ellis Ave, Jackson, MS 39209 | 2020-06-09 |
| 1760003594 | Phi Health, LLC | Ambulance | 582 Ramp Road, Suite C, Jackson, MS 39209 | 2020-05-04 |
| 1720468911 | Genoa Healthcare, LLC | Pharmacy | 3450 Highway 80 W Rm 68, Jackson, MS 39209 | 2015-06-03 |
| 1013302082 | Tiffany Griffin | Nurse Practitioner | 3450 Highway 80 West, Jackson, MS 39209 | 2015-04-06 |
| 1679961957 | Cassetta Shontae Mcgee | Emergency Medical Technician, Basic | 5326 Queen Eleanor Ln, Jackson, MS 39209 | 2015-01-08 |
| 1124381280 | Martin Solution | In Home Supportive Care | 917 West Ridge, Jackson, MS 39209 | 2012-06-22 |
| 1649533589 | Adrinnie M Martin | Contractor | 917 Westridge, Jackson, MS 39209 | 2012-06-15 |
| 1831423862 | Infinity House, Inc | In Home Supportive Care | 1042 Pecan Park Circle, Jackson, MS 39209 | 2009-09-23 |
| 1174751093 | Linda M Vance | Nurse Practitioner | 1000 Metrocenter Ste 105, Jackson, MS 39209 | 2009-06-30 |
| 1770729998 | Kim Hestle | Speech-Language Pathologist | 733 N. Flag Chapel Road, Jackson, MS 39209 | 2008-12-17 |
| Find all providers in zip 39209 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386272375 | Meagan Mary Deane | Licensed Practical Nurse | 1311 Winston Dr, Jackson, MI 49203-5026 | 2020-03-27 |
| 1952953390 | Kristin Marie Mees | Licensed Practical Nurse | 702 W Ganson St, Jackson, MI 49201-1047 | 2019-07-16 |
| 1477011336 | Roberta Lee Bentley | Licensed Practical Nurse | 5120 Leora Ln, Jackson, MI 49201-8912 | 2019-03-08 |
| 1033608385 | Suzann Swetland | Licensed Practical Nurse | 510 Gregory Pl, Jackson, MI 49202-2608 | 2018-05-02 |
| 1285122309 | Angela Holt | Licensed Practical Nurse | 913 Seymour Ave, Jackson, MI 49202-2543 | 2018-04-24 |
| 1093211377 | Sheldon Ewers | Licensed Practical Nurse | 5052 Marble St, Jackson, MI 49201-8146 | 2018-04-04 |
| 1609326263 | Regina Mcdaniel | Licensed Practical Nurse | 502 Mccarty Ln, Unit 5, Jackson, OH 45640-7020 | 2016-10-07 |
| 1023564366 | Rebecca Ashenfelter | Licensed Practical Nurse | 4715 Fox Valley Dr., 1a, Jackson, MI 49204 | 2016-08-28 |
| 1144673146 | Merrie Loar | Licensed Practical Nurse | 1410 Sherman Wood Dr, Jackson, MI 49201-8129 | 2016-07-14 |
| 1407205479 | Fraser Raymond Worth | Licensed Practical Nurse | 4222 Wellington, Jackson, MI 49201-7182 | 2016-06-09 |
| Find all providers in JACKSON | ||||
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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.