Individual provider Active NPI

Deontae M Cole

  • Case Manager/Care Coordinator
  • Toledo, OH
National Provider Identifier
1992487987
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
3950 Sunforest CT Ste 207
Toledo, OH 43623-4522
Phone
(419) 340-5137
NPI assigned
Aug 1, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X OH Primary

Addresses

Primary practice location

3950 Sunforest CT Ste 207
Toledo, OH 43623-4522

Mailing address

1946 N 13TH St Ste 450
Toledo, OH 43604-7257
Phone (419) 720-6811

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

Practice roles

OrganizationSpecialtyStatusNew patients
Caregiver Grove Behavioral Health LLC CurrentSince May 19, 2024 Accepting new patients
Caregiver Grove Behavioral Health CurrentSince May 19, 2024 Accepting new patients

Locations

3950 Sunforest Ct
Ste 207
Toledo, OH 43623
Phone (419) 340-5137

1946 N 13th St
Ste 450
Toledo, OH 43604
Phone (419) 708-1875

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1690848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1992487987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1946 N 13TH ST STE 450",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436047257",
            "telephone_number": "419-720-6811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 SUNFOREST CT STE 207",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234522",
            "telephone_number": "419-340-5137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "DEONTAE",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-01",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; 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.