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COLEMAN & STALLWORTH REAL ESTATE HOLDING LLC NPI 1902059439


NPI Information

NPI: 1902059439
Provider Name: COLEMAN & STALLWORTH REAL ESTATE HOLDING, LLC

Doing Business As: PROFESSIONAL CARE GIVERS

Classification: Home Health - 251E00000X
Entity Type: Organization
Address:
4363 AZALEA WALK
ELLENWOOD, GA
ZIP 30294
Phone: (404) 244-3292
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COLEMAN & STALLWORTH REAL ESTATE HOLDING, LLC is a home health in Ellenwood, GA. The provider is a public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. COLEMAN & STALLWORTH REAL ESTATE HOLDING, LLC NPI is 1902059439. The provider is registered as an organization entity type.
The provider Is Doing Business As Professional Care Givers.

The provider's business location address is:

4363 AZALEA WALK
ELLENWOOD, GA
ZIP 30294-552
Phone: (404) 244-3292
Fax: (404) 244-3414

The provider's authorized official is Henry Stallworth .
The authorized official title is President and has the following contact phone number (678) 602-0183.

The enumeration date for this NPI number is 10/28/2008 and was last updated on 6/15/2009.


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
1332B00000XDurable Medical Equipment & Medical Supplies044-R-0499GEORGIANo
2251E00000XHome Health044--R-0499GEORGIAYes

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: 5/5/2024

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