Healthcare Provider Details
I. General information
NPI: 1144241209
Provider Name (Legal Business Name): COORDINATED HEALTH SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/22/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1327 N BRIGHTLEAF BLVD STE F
SMITHFIELD NC
27577-7263
US
IV. Provider business mailing address
1224 COPELAND OAKS DR
MORRISVILLE NC
27560-6614
US
V. Phone/Fax
- Phone: 919-938-1313
- Fax: 919-938-1333
- Phone: 919-465-0910
- Fax: 919-465-0918
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251B00000X |
| Taxonomy | Case Management Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
ERIC
KEITH
ANGELL
Title or Position: SECRETARY/TREASURER
Credential:
Phone: 919-465-0910