OrganizationActive
Coleman & Stallworth Real Estate Holding, LLC
NPI 1902059439 · Home Health Agency · Ellenwood, GA
Coleman & Stallworth Real Estate Holding, LLC is a Home Health Agency organization in Ellenwood, GA (NPI 1902059439).
Provider details
- NPI number
- 1902059439
- Entity type
- Organization
- Primary specialty
- Home Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Henry Stallworth, President(678) 602-0183
- License
- 044-R-0499 (GA)
Specialties & taxonomies
Agencies
Suppliers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4363 Azalea Walk
Ellenwood, GA 30294-6552
Phone: (404) 244-3292
Fax: (404) 244-3414
Street-level locationGet directions
Mailing address
4363 Azalea Walk
Ellenwood, GA 30294-6552
Other names (DBA / former)
- Doing business as
- Professional Care Givers
Registry dates
- Enumerated
- 2008-10-28
- Last updated
- 2009-06-15
Frequently asked questions
- What is Coleman & Stallworth Real Estate Holding, LLC's NPI number?
- Coleman & Stallworth Real Estate Holding, LLC's National Provider Identifier (NPI) is 1902059439, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Coleman & Stallworth Real Estate Holding, LLC?
- Coleman & Stallworth Real Estate Holding, LLC is classified in the NPPES registry as Home Health Agency (Agencies).
- Where is Coleman & Stallworth Real Estate Holding, LLC located?
- Coleman & Stallworth Real Estate Holding, LLC's practice location on file with NPPES is 4363 Azalea Walk, Ellenwood, GA 30294-6552.
- What is Coleman & Stallworth Real Estate Holding, LLC's phone number?
- The practice phone number listed in the NPPES registry for Coleman & Stallworth Real Estate Holding, LLC is (404) 244-3292.
- Who is the authorized official for Coleman & Stallworth Real Estate Holding, LLC?
- The authorized official listed on Coleman & Stallworth Real Estate Holding, LLC's NPPES record is Henry Stallworth, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Coleman & Stallworth Real Estate Holding, LLC's NPI active?
- Yes — Coleman & Stallworth Real Estate Holding, LLC's NPI (1902059439) is active in the NPPES registry as of the last update on 2009-06-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.