Donte Levon Coleman

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

93-1644495 Issued in NC

Practice address

305 Kenbrook LN NW Apt 101
Concord, NC 28027-0122

Phone

(609) 203-3170

NPI assigned

Jun 26, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• 2ND Chance Homes

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Concord, NC
  • NPI 1538922422
  NPD Authorized official

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

{
    "created_epoch": "1687737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1336825280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 KENBROOK LN NW APT 101",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280270122",
            "telephone_number": "609-203-3170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 KENBROOK LN NW APT 101",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280270122",
            "telephone_number": "609-203-3170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "DONTE",
        "middle_name": "LEVON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-26",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NC",
            "license": "93-1644495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julianna Cohen, PA
• Frances Cohenour, PHARMD
• Jordan Paul Cole, MD
• Sophia Natasha Cole, LCSW
• Bryce Emanuel Coleman, DDS
• Kia Latea Colleton-Livingston, NP-C
• Kevin Collier
• Brianna L Collins, LSW
• Ezekial Emmanuel Collins, MEDICAL TRANSPORT
• Sophia T Collins, LMT

• Mental Illness Community Based Residential Treatment Facility in Concord, NC
• Providers in Concord, NC by specialty
• Mental Illness Community Based Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; 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.