Coordinated Community Living

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

COORDINATED COMMUNITY LIVING

Practice address

29100 Northwestern Hwy Ste 400
Southfield, MI 48034-1091

Phone

(248) 357-2255

Fax

(248) 948-9691

NPI assigned

Sep 26, 2006

Last updated

Jan 14, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Tina Abbate-Marzolf

Title

Ceo

Phone

(248) 262-9200

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert Michael Amos, LMSW

  • Counselor
  • Southfield, MI
  • NPI 1952273336
  NPD (past)
• Angela Patten, RD, CSG, CDCES

  • Registered Dietitian
  • Southfield, MI
  • NPI 1093202178
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389657600000",
    "number": "1982705661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29100 NORTHWESTERN HWY STE 400",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341091",
            "telephone_number": "248-357-2255",
            "fax_number": "248-948-9691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29100 NORTHWESTERN HWY STE 400",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341091",
            "telephone_number": "248-357-2255",
            "fax_number": "248-948-9691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COORDINATED COMMUNITY LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2014-01-14",
        "status": "A",
        "authorized_official_last_name": "ABBATE-MARZOLF",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-262-9200",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4508980",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jerome William Cooper, D.O.
• Kaitlyn Ann Cooper, OT
• Leigh-Anna Cooper
• Loretta Cooper
• Marshea Cooper, M.S
• Shelia Cope, LMT
• Dominique Antane Copeland Arrington
• Jessica Coppiellie
• Sherrie Denette Corbin
• Core Chiropractic Center

• Home Health Agency in Southfield, MI
• Providers in Southfield, MI by specialty
• Home Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; 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.