COORDINATED HEALTH SERVICES, INC. (NPI# 1417020611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417020611 |
| Entity Type | Organization |
| Organization Name | COORDINATED HEALTH SERVICES, INC. |
| Practice Address |
399 Johnson Blvd Jacksonville NC 28540-5426 |
| Mailing Address |
1224 Copeland Oaks Dr Morrisville NC 27560-6614 |
| Practice Telephone | 9103461352 |
| Practice Fax Number | 9103466387 |
| Mailing Telephone | 9194650910 |
| Mailing Fax Number | 9194650918 |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. ROBIN K ENTERKIN (BILLING SUPERVISOR) |
| Authorized Official Telephone | 9194650910 |
| Authorized Official Credential | M.A. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 251B00000X | Case Management | Agencies | ||
| X | 251E00000X | Home Health | Agencies | ||
| X | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8300364G | 05 | |
| NC | 8300364S | 05 | |
| NC | 8300364 | 05 | |
| NC | 8300364H | 05 | |
| NC | 8300364B | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265699680 | Coordinated Health Services, Inc. | Case Management | 122 Circle Dr, Hampstead, NC 28443-2108 | 2008-05-22 |
| 1992878243 | Coordinated Health Services, Inc. | Case Management | 1015 West Blvd, Laurinburg, NC 28352-4328 | 2006-11-16 |
| 1730252933 | Coordinated Health Services, Inc. | Case Management | 10320 Durant Rd, Raleigh, NC 27614-6466 | 2006-11-16 |
| 1730252073 | Coordinated Health Services, Inc. | Case Management | 1107f W Broad St, Elizabethtown, NC 28337-9483 | 2006-11-16 |
| 1841363033 | Coordinated Health Services, Inc. | Case Management | 100 W Elizabeth St, Clinton, NC 28328-4022 | 2006-11-16 |
| 1053484451 | Coordinated Health Services, Inc. | Case Management | 1501 N Roberts Ave, Lumberton, NC 28358-2279 | 2006-11-16 |
| 1518030857 | Coordinated Health Services, Inc. | Case Management | 3023 N Roberts Ave, Lumberton, NC 28360-9071 | 2006-11-16 |
| 1285707562 | Coordinated Health Services, Inc. | Case Management | 118 Avon Ave Ste 101, Washington, NC 27889-3869 | 2006-11-16 |
| 1720151020 | Coordinated Health Services, Inc. | Case Management | 273 W. Oliver Street, Whiteville, NC 28472-4440 | 2006-11-16 |
| 1508939885 | Coordinated Health Services, Inc. | Case Management | 600 Plaza Blvd Ste A, Kinston, NC 28501-1600 | 2006-11-16 |
| Street Address |
399 JOHNSON BLVD |
| City | JACKSONVILLE |
| State | NC |
| Zip Code | 28540-5426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467067785 | Knox Counseling and Consulting, PC | Case Management | 513 New Bridge St-suite 500, Jacksonville, NC 28540 | 2020-09-14 |
| 1629696646 | Mary Ann Caldwell | Counselor | 2496 Northwoods Dr., Jacksonville, NC 28540 | 2020-07-07 |
| 1639793748 | Johnathon T Brewer | Military Health Care Provider | 100 White St, Jacksonville, NC 28540 | 2020-06-04 |
| 1043782899 | Brice Rivra | Military Health Care Provider | Rr 612 Loop Road, Jacsksonvile, NC 28540 | 2018-12-18 |
| 1649768599 | Alexander John Pybus | Student in an Organized Health Care Education/Training Program | White St Bldg As-100, Jacksonville, NC 28540 | 2018-04-26 |
| 1881198182 | Orleiquis Guerra | Military Health Care Provider | Marine Corps Air Station New River Bldg As-100, Jacksonville, NC 28540 | 2018-03-21 |
| 1558864736 | Andrew Louis Monroe | General Practice | As-100 White Street, Jacksonville, NC 28540 | 2018-03-14 |
| 1588183198 | Citizen Community Transport, LLC | Private Vehicle | 220 Foxwood Ct., Jacksonville, NC 28540 | 2017-09-14 |
| 1558886242 | Brandon Jay Smith | Military Health Care Provider | E Street Bldg G770, Camp Lejeune, NC 28540 | 2017-08-03 |
| 1174043244 | Jason Waters | Military Health Care Provider | White St, Bldg As-100, Jacksonville, NC 28540 | 2017-06-21 |
| Find all providers in zip 28540 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467067785 | Knox Counseling and Consulting, PC | Case Management | 513 New Bridge St-suite 500, Jacksonville, NC 28540 | 2020-09-14 |
| 1912517046 | Coastal Community Services, LLC | Case Management | 138 Turquoise Dr, Jacksonville, NC 28546-8757 | 2020-08-04 |
| 1104470749 | Elite Home Care of Jax LLC | Case Management | 16334 Dawnwood Ct, Jacksonville, FL 32218-0107 | 2019-07-31 |
| 1821653601 | The Adoption Authority, Inc. | Case Management | 4940 Emerson Street, Suite 103, Jacksonville, FL 32207 | 2019-05-07 |
| 1912560616 | Step-by-step Behavioral Health Services, LLC | Case Management | 3107 Spring Glen Rd Ste 213, Jacksonville, FL 32207-5922 | 2019-04-17 |
| 1750848347 | Dreamers Vision Academy | Case Management | 4449 Lincrest Dr S, Jacksonville, FL 32208-1976 | 2019-03-01 |
| 1306329305 | One Call Government Solutions, LLC | Case Management | 841 Prudential Dr Ste 204, Jacksonville, FL 32207-8347 | 2018-09-14 |
| 1174000327 | Rudella's Total Health and Wellness Center | Case Management | 8410 Cheswick Oak Ave, Jacksonville, FL 32244-7352 | 2018-07-20 |
| 1194219360 | Deana Roberts | Case Management | 3954 Anderson Woods Dr, Jacksonville, FL 32218-9218 | 2018-06-20 |
| 1649797671 | Caring Hearts Counseling, LLC | Case Management | 111 Marble Drive, Jacksonville, AR 72076 | 2017-08-30 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 28540 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.