Talibah Coleman

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

1102190 Issued in IL

Practice address

1900 Glenfair Rd
Decatur, GA 30035-1849

Phone

(770) 415-5363

NPI assigned

Nov 20, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Talibah Chisholm Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Able Housing Services Corp

  • Case Management Agency
  • Decatur, GA
  • NPI 1639766959
  NPD Authorized official

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

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1871196899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 EVANS MILL RD # B118",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300382481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 GLENFAIR RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300351849",
            "telephone_number": "770-415-5363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "TALIBAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-20",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "IL",
            "license": "1102190",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TALIBAH",
            "last_name": "CHISHOLM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Charles Ronald Coleman Jr., MED, BCBA
• Jamian Coleman
• Keleigh Coleman
• Rachel Coleman
• Robin Selina Coleman
• Tayona Lasalle Coleman, LPN
• Kenneth Coley
• Collectively Speaking, LLC
• Christina Sgier Collier
• Trenise Collier, MSW

• All providers in Decatur, GA
• Home Health Aide in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; 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.