Provider Demographics
NPI:1225911522
Name:COORDINATED HOME CARE
Entity type:Organization
Organization Name:COORDINATED HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:REGGIE
Authorized Official - Middle Name:M
Authorized Official - Last Name:SIMPKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:912-801-1640
Mailing Address - Street 1:212 OAKLEAF DR
Mailing Address - Street 2:COORDINATEDHOMECARELLC@GMAIL.COM
Mailing Address - City:STATESBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30458-3045
Mailing Address - Country:US
Mailing Address - Phone:912-801-1640
Mailing Address - Fax:
Practice Address - Street 1:212 OAKLEAF DR
Practice Address - Street 2:COORDINATEDHOMECARELLC@GMAIL.COM
Practice Address - City:STATESBORO
Practice Address - State:GA
Practice Address - Zip Code:30458-3045
Practice Address - Country:US
Practice Address - Phone:912-801-1640
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-26
Last Update Date:2025-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care