Organization Active NPI

Coleman's Compassionate Caregiver LLC

  • Home Health Agency
  • Palm Bay, FL
National Provider Identifier
1891420998
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
COLEMAN'S COMPASSIONATE CAREGIVER LLC
Practice address
396 Delmonico St NE
Palm Bay, FL 32907-3001
Phone
(321) 557-2691
NPI assigned
Jul 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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

Authorized official

Name
Ms. Kurtisha Stewart, LPNNPI 1437884681
Title
Owner
Phone
(321) 557-2691

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

396 Delmonico St NE
Palm Bay, FL 32907-3001

Mailing address

396 Delmonico St NE
Palm Bay, FL 32907-3001
Phone (321) 557-2691

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1658361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658707200000",
    "number": "1891420998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "396 DELMONICO ST NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329073001",
            "telephone_number": "321-557-2691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "396 DELMONICO ST NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329073001",
            "telephone_number": "321-557-2691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLEMAN'S COMPASSIONATE CAREGIVER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-21",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "KURTISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-557-2691",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.