MS. LATHAY COLTRANE NPI 1801567763

NPI Information

  • NPI: 1801567763
  • Provider Name: MS. LATHAY COLTRANE
  • Classification: Clinic/Center - 261QA0600X
  • Specialization: Adult Day Care
  • Entity Type: Individual
  • Address: 3811 REPON ST
    GREENSBORO, NC
    ZIP 27407
  • Phone: (336) 669-2819

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NPI Details

MS. Lathay Coltrane is an adult day care clinic center in Greensboro, NC. MS. Lathay Coltrane NPI is 1801567763. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3811 REPON ST
GREENSBORO, NC
ZIP 27407-536
Phone: (336) 669-2819
Fax: (336) 299-9758

The enumeration date for this NPI number is 9/21/2021 and was last updated on 9/21/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251C00000XDay Training, Developmentally Disabled ServicesNo
2373H00000XDay Training/Habilitation SpecialistNo
3261QA0600XClinic/CenterAdult Day CareYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11366594715MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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