Individual provider Active NPI

Arlesuah Y Coleman

  • Children's Rehabilitation Hospital
  • Stockbridge, GA
National Provider Identifier
1891568960
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's Rehabilitation HospitalTaxonomy code 283XC2000X
License
CN0030089196 Issued in GA
Practice address
121 Arbor Cove Way
Stockbridge, GA 30281-6443
Phone
(205) 767-4915
NPI assigned
Nov 1, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X CN0030089196 GA
Assisted Living Facility 310400000X CN0030089196 GA
Long-Term Care Clinical Nurse Specialist 364SL0600X CN0030089196 GA
Home Health Aide 374U00000X CN0030089196 GA
Nurse's Aide 376K00000X CN0030089196 GA
Children's Rehabilitation Hospital 283XC2000X CN0030089196 GA Primary

Addresses

Primary practice location

121 Arbor Cove Way
Stockbridge, GA 30281-6443

Mailing address

121 Arbor Cove Way
Stockbridge, GA 30281-6443
Phone (205) 767-4915

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CN0030089196GAMDLong Term Care Hospital

NPI Registry JSON

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

{
    "created_epoch": "1698796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1891568960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 ARBOR COVE WAY",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302816443",
            "telephone_number": "205-767-4915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 ARBOR COVE WAY",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302816443",
            "telephone_number": "205-767-4915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "ARLESUAH",
        "middle_name": "Y",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-01",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "GA",
            "license": "CN0030089196",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "GA",
            "license": "CN0030089196",
            "primary": false
        },
        {
            "code": "364SL0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Long-Term Care",
            "state": "GA",
            "license": "CN0030089196",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "GA",
            "license": "CN0030089196",
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "GA",
            "license": "CN0030089196",
            "primary": false
        },
        {
            "code": "283XC2000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital, Children",
            "state": "GA",
            "license": "CN0030089196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; 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.