Coordinated Care 1, Inc

Primary specialty

Adult CompanionTaxonomy code 372600000X

Legal business name

COORDINATED CARE 1, INC

Doing business as

Coordinated Care 1
Coordinated Care 1, INC

Practice address

2328 E 7 Mile Rd
Detroit, MI 48234-1304

Phone

(248) 443-8044

NPI assigned

Mar 2, 2018

Organization subpart

No

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

Authorized official

Name

Gigi J

Title

Member

Phone

(248) 443-8044

Specialties & licenses 5

Addresses

Other identifiers 1

Other names 2

• Coordinated Care 1 Doing business as
• Coordinated Care 1, INC Doing business as

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

{
    "created_epoch": "1519948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607904000000",
    "number": "1174025415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 99705",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480999705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2328 E 7 MILE RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482341304",
            "telephone_number": "248-443-8044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COORDINATED CARE 1, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-02",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A",
        "authorized_official_last_name": "J",
        "authorized_official_first_name": "GIGI",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "248-443-8044"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE PAY",
            "identifier": "05438U",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coordinated Care 1",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Coordinated Care 1, INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shawnnay Delisha Cooper
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• Tajuanna Monique Cooper, MA, LLPC
• Tammy Michelle Cooper, R.N., B.S.N.
• Cooperative Optical Services, Inc
• Coordinated Counseling Services LLC
• Cope Transport LLC
• Zebulun Cope, DO
• Latagia Copeland-Tyronce, MSW
• Desi Alonzo Copeland, MSW SOCIAL WORK LLC

• Adult Companion in Detroit, MI
• Providers in Detroit, MI by specialty
• Adult Companion in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.