MEDICARE: LISA COLES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251E00000X	Home Health Agency
2	374U00000X	Home Health Aide
3	343900000X	Non-emergency Medical Transport (VAN)
4	171M00000X	Case Manager/Care Coordinator
5	3747P1801X	Personal Care Attendant
6	171W00000X	Contractor
7	101YP1600X	Pastoral Counselor

General Provider Information

NPI Number	:	1437020468
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LISA COLES

Provider Business Mailing Address
First Line	:	14030 CONNECTICUT AVE # 6390
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20906-9997
Country	:	US
Telephone Number	:	240-871-9601
Fax Number	:

Provider Business Practice Location Address
First Line	:	14030 CONNECTICUT AVE # 6390
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20906-9997
Country	:	US
Telephone Number	:	240-871-9601
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/15/2025
Last Update Date	:	12/17/2025

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Directions to “ LISA COLES ” Practice Location

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