MEDICARE: MRS. ANNETTE COES

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374U00000X	Home Health Aide	25-018955-1	IN
2	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1487475513
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ANNETTE COES

Provider Business Mailing Address
First Line	:	623 CLAY ST
Second Line	:
City	:	GARY
State	:	IN
Zip	:	46403-2811
Country	:	US
Telephone Number	:	219-545-3207
Fax Number	:

Provider Business Practice Location Address
First Line	:	623 CLAY ST
Second Line	:
City	:	GARY
State	:	IN
Zip	:	46403-2811
Country	:	US
Telephone Number	:	219-545-3207
Fax Number	:

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

Provider Enumeration Date	:	10/22/2024
Last Update Date	:	05/05/2026

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Directions to “ MRS. ANNETTE COES ” Practice Location

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