Coldwater Place

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

AF250093701 Issued in MI

Legal business name

COLDWATER PLACE

Practice address

4318 E Coldwater Rd
Flint, MI 48506-1054

Phone

(810) 736-1496

NPI assigned

Jun 23, 2006

Organization subpart

No

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

Authorized official

Name

Mr. James Burnett

Title

Owner

Phone

(810) 736-1496

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1316973530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4318 E COLDWATER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485061054",
            "telephone_number": "810-736-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4318 E COLDWATER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485061054",
            "telephone_number": "810-736-1496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLDWATER PLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-23",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "BURNETT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-736-1496",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MI",
            "license": "AF250093701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Art Cohen
• Ian Cohoon, MS, BCBA
• Amanda Jo-Michelle Coker
• Teresa Coker, LMSW, LMFT
• Jessica Erin-Louise Col
• Angela Leigh Cole, FNP-C
• Eddie Lou Cole
• Charlene Ann Coleman, RN
• Charles Coleman
• Clara Coleman

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Flint, MI
• Providers in Flint, MI by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.