# COULSANDER JOHNSON CONCERN GERIATRIC CARE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033554514
- **Authorized official:** MISS COULSANSER JOHNSON LVN (LVN)
- **Authorized official phone:** (562) 230-3354

## Contact information

- **Practice address:** 539 E RHEA ST APT 4, LONG BEACH, CA 90806-5542
- **Practice address phone:** (562) 212-6835
- **Mailing address:** 2090 MYRTLE AVE, LONG BEACH, CA 90806-4932
- **Mailing address phone:** (562) 230-3354

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251T00000X | PACE Provider Organization | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 311ZA0620X | Adult Care Home Facility | VN192615 | CA | — |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 05/09/2013
- **Last updated:** 12/19/2019