MEDICARE: COLEMAN CARE SERVICES

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	1041C0700X	Clinical Social Worker
2	251B00000X	Case Management Agency
3	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1558831503
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COLEMAN CARE SERVICES

Provider Business Mailing Address
First Line	:	1840 EASTCHESTER DR STE 100
Second Line	:
City	:	HIGH POINT
State	:	NC
Zip	:	27265-1496
Country	:	US
Telephone Number	:	336-491-9983
Fax Number	:

Provider Business Practice Location Address
First Line	:	1840 EASTCHESTER DR STE 100
Second Line	:
City	:	HIGH POINT
State	:	NC
Zip	:	27265-1496
Country	:	US
Telephone Number	:	336-892-2099
Fax Number	:	336-447-1960

Authorized Official
Title or Position	:	OWNER
Name	:	MS. ANGEL COLEMAN
Credential	:
Telephone Number	:	336-491-9983

Provider Enumeration Date	:	12/03/2018
Last Update Date	:	12/03/2018

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Directions to “COLEMAN CARE SERVICES ” Practice Location

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