NPIMap

Organization Active NPI

Coles Comprehensive Home Care LLC

  • In Home Supportive Care Agency
  • Port Huron, MI
National Provider Identifier
1154922524
Registry record updated Nov 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
COLES COMPREHENSIVE HOME CARE LLC
Practice address
1221 Briarwood Dr
Port Huron, MI 48060-2092
Phone
(810) 488-0787
Fax
(810) 294-5356
NPI assigned
Nov 3, 2020
Last updated
Nov 3, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joshua Allen Cole, LMTNPI 1245607233
Title
Owner
Phone
(810) 488-0787

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1221 Briarwood Dr
Port Huron, MI 48060-2092

Mailing address

1221 Briarwood Dr
Port Huron, MI 48060-2092
Phone (810) 488-0787

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604361600000",
    "number": "1154922524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 BRIARWOOD DR",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480602092",
            "telephone_number": "810-488-0787",
            "fax_number": "810-294-5356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 BRIARWOOD DR",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480602092",
            "telephone_number": "810-488-0787",
            "fax_number": "810-294-5356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLES COMPREHENSIVE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-03",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-488-0787",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Huron, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.