Cordinat Medical Staffing and Consulting

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

2015015535 Issued in GA

Legal business name

CORDINAT MEDICAL STAFFING AND CONSULTING

Practice address

1475 Buford Dr
Sutie 403-154
Lawrenceville, GA 30043-3798

Phone

(470) 242-5823

NPI assigned

Sep 21, 2015

Organization subpart

No

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

Authorized official

Name

Detrese Rejanet Bowen

Title

Owner

Phone

(470) 242-5823

Specialties & licenses 1

Addresses

Other names 1

• Cordinat Medical Consulting Other name

Locations

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

{
    "created_epoch": "1442793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442793600000",
    "number": "1770952707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1475 BUFORD DR",
            "address_2": "SUTIE 403-154",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300433798",
            "telephone_number": "470-242-5823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 BUFORD DR",
            "address_2": "SUTIE 403-154",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300433798",
            "telephone_number": "470-242-5823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORDINAT MEDICAL STAFFING AND CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-21",
        "last_updated": "2015-09-21",
        "status": "A",
        "authorized_official_last_name": "BOWEN",
        "authorized_official_first_name": "DETRESE",
        "authorized_official_middle_name": "REJANET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "470-242-5823"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "GA",
            "license": "2015015535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cordinat Medical Consulting",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jennifer Hutcheson Corbin, RDH
• Jessica Corbin, LPC
• Teria K Corbin
• Darrell Frank Corder
• Jose Antonio Cordero, ED.M., LAPC
• Shelly Wong Cordsen, LPC
• Core Care Women'S & Children'S Wellness Physical Therapy, LLC
• Karyn Corell, LPC
• Corinne F. Quinn M.D., P.C.
• Myra R Cornelius, LCSW

• In Home Supportive Care Agency in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• In Home Supportive Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2015; 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.