# COORDINATED CARE 1, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Coordinated Care 1, INC, Coordinated Care 1
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174025415
- **Authorized official:** GIGI J (MEMBER)
- **Authorized official phone:** (248) 443-8044

## Contact information

- **Practice address:** 2328 E 7 MILE RD, DETROIT, MI 48234-1304
- **Practice address phone:** (248) 443-8044
- **Mailing address:** PO BOX 99705, TROY, MI 48099-9705

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | — |
| 171M00000X | Case Manager/Care Coordinator | — | — | — |
| 251B00000X | Case Management Agency | — | NULL | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 343900000X | Non-emergency Medical Transport (VAN) | — | NULL | — |
| 372600000X | Adult Companion | — | NULL | Yes |
| 372600000X | Adult Companion | — | — | Yes |

## Other

- **Enumeration date:** 03/02/2018
- **Last updated:** 12/14/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 05438U | PRIVATE PAY | MI |