Provider Demographics
NPI:1316277239
Name:COLEMAN HEALTHCARE INC
Entity type:Organization
Organization Name:COLEMAN HEALTHCARE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:INNOCENT
Authorized Official - Middle Name:
Authorized Official - Last Name:NNANNA
Authorized Official - Suffix:
Authorized Official - Credentials:BACHELOR OF SCIENCE
Authorized Official - Phone:281-916-1900
Mailing Address - Street 1:17302 HOUSE HAHL RD STE 328
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-8213
Mailing Address - Country:US
Mailing Address - Phone:713-628-1213
Mailing Address - Fax:
Practice Address - Street 1:17302 HOUSE HAHL RD STE 328
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-8213
Practice Address - Country:US
Practice Address - Phone:281-916-1900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-29
Last Update Date:2020-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health