Provider Demographics
NPI:1215641188
Name:COLEMAN, TORAE (LPN)
Entity type:Individual
Prefix:
First Name:TORAE
Middle Name:
Last Name:COLEMAN
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:HKC
Other - Middle Name:
Other - Last Name:HOME CARE LLC
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:490 FOXTRAIL CIR E
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-2850
Mailing Address - Country:US
Mailing Address - Phone:614-806-5151
Mailing Address - Fax:
Practice Address - Street 1:490 FOXTRAIL CIR E
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-2850
Practice Address - Country:US
Practice Address - Phone:614-806-5151
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-05
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4577164251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health