Coleman Supported Living

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

COLEMAN SUPPORTED LIVING

Practice address

1554 Dover CT
Liberty, MO 64068-3288

Phone

(573) 673-9715

NPI assigned

Aug 15, 2022

Organization subpart

No

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

Authorized official

Name

Edith Coleman, LPN

Title

Ceo

Phone

(573) 673-9715

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1660521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660521600000",
    "number": "1578281788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1554 DOVER CT",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640683288",
            "telephone_number": "573-673-9715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1554 DOVER CT",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640683288",
            "telephone_number": "573-673-9715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLEMAN SUPPORTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-15",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "EDITH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "573-673-9715",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johnny Alan Clymore
• Crystal Coakley, MA, PLPC
• Paige Cobb
• Cobblestone Specialty Care Inc
• Stacy Lynn Cogan, PHARM.D.
• Anastasia Coleman
• Terrence W Coleman, MD
• Coleman'S Home Care 4 Ullc
• Daniel Thomas Colgan, DDS
• College St Healthcare LLC

• In Home Supportive Care Agency in Liberty, MO
• Providers in Liberty, MO by specialty
• In Home Supportive Care Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.