Coleman Care Givers LLC

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

335215 Issued in MS

Legal business name

COLEMAN CARE GIVERS LLC

Practice address

706 Hillmont Dr
Jackson, MS 39209-6003

Phone

(601) 201-6807

NPI assigned

Oct 19, 2017

Organization subpart

No

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

Authorized official

Name

Miss Shundobie Tomeka Coleman, LPNNPI 1275939639

Title

Owner

Phone

(601) 201-6807

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shundobie T Coleman

  • Contractor
  • Jackson, MS
  • NPI 1275939639
  NPD Authorized official

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

{
    "created_epoch": "1508371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1508377383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 HILLMONT DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392096003",
            "telephone_number": "601-201-6807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 HILLMONT DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392096003",
            "telephone_number": "601-201-6807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLEMAN CARE GIVERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-19",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "SHUNDOBIE",
        "authorized_official_middle_name": "TOMEKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-201-6807",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "MS",
            "license": "335215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1275939639",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carla Simpson Cole, DMD
• Jeptha Newton Cole, M.D.
• Jessica Cole, LPC
• Kelly Cole, MD
• Stephen Robert Cole, DO
• Bessie Coleman
• Candice Coleman, NP-C
• Carolyn D Coleman, PMHNP-BC
• De'Neshia Coleman
• George Wayne Coleman

• Licensed Practical Nurse in Jackson, MS
• Providers in Jackson, MS by specialty
• Licensed Practical Nurse in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.