Coal Miner Nursing Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

COAL MINER NURSING SERVICES LLC

Practice address

20 Cabot Blvd Ste 300
Mansfield, MA 02048-1183

Phone

(970) 405-8938

NPI assigned

Jan 24, 2024

Organization subpart

No

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

Authorized official

Name

Christopher Russell

Title

Member

Phone

(801) 725-3977

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1706054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706054400000",
    "number": "1376305516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CABOT BLVD STE 300",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "020481183",
            "telephone_number": "970-405-8938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CABOT BLVD STE 300",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "020481183",
            "telephone_number": "970-405-8938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COAL MINER NURSING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-24",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "801-725-3977"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael A Cerasuolo, RPH
• Lisa A Chapman, NP
• Christy Kelly Ciccariello, MS OTR/L
• Erin Clancy, LICSW
• Clinical Science Laboratory Inc.
• Wendy Beyer Cohen, MD
• Westin George Cohen, OD
• Claire Marie Cole, RN
• Tara Lyn Coleman, RN, CPNP
• Comfort Care Dental, PLLC

• Home Health Agency in Mansfield, MA
• Providers in Mansfield, MA by specialty
• Home Health Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; 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.