Provider Demographics
NPI:1639968803
Name:COKES CARE LLC
Entity type:Organization
Organization Name:COKES CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:COKES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-904-4006
Mailing Address - Street 1:1217 N 25TH ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68503-1716
Mailing Address - Country:US
Mailing Address - Phone:402-904-4006
Mailing Address - Fax:
Practice Address - Street 1:1217 N 25TH ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68503-1716
Practice Address - Country:US
Practice Address - Phone:402-904-4006
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-05
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty