NPIMap

Organization Active NPI

Coleman Home Health and Hospice, Inc.

  • Community Based Hospice Care Agency
  • Coleman, TX
National Provider Identifier
1003240425
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
COLEMAN HOME HEALTH AND HOSPICE, INC.
Practice address
1214 S Commercial Ave
Coleman, TX 76834-5010
Phone
(325) 625-3222
Fax
(325) 625-2333
NPI assigned
Aug 22, 2013
Last updated
Aug 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Donald A Freeman
Title
President
Phone
(405) 878-0202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X TX Primary

Addresses

Primary practice location

1214 S Commercial Ave
Coleman, TX 76834-5010

Mailing address

120 W Macarthur St
Suite 121
Shawnee, OK 74804-2007
Phone (405) 878-0202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171204001657 TX Part A Provider - Hospice 2860623329 Practice locations: Coleman, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1003240425. Details of each certification follow.

Hospice certification: CCN 741691

Legal name
COLEMAN HOME HEALTH AND HOSPICE INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Aug 15, 2017
Last certification
Apr 22, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Jun 13, 2013 in OK
Enrollment address
1214 S Commercial Ave
Coleman, TX 76834-5010

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
Coleman Home Health and Hospice IncCCN 741691 · All quality measures
Ownership
For-Profit
Certified
Aug 15, 2017
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Coleman Home Health and Hospice2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Donald a Freeman Individual 5% Or Greater Direct Ownership Interest Jun 13, 2013 100%
Corporate OfficerPresident Jun 13, 2013 100%
Luana Saverance Individual W-2 Managing Employee Nov 30, 2020
Preferred Management Corporation Organization, Shawnee, OK Corporation, For-profit Operational/Managerial Control Jun 13, 2013
Karla a Betterton Individual Corporate OfficerVice President of Finance Jun 13, 2013
Jared Chanski Individual Corporate Officer Jan 1, 2020

Facilities with the same owner 35

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 35

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1377129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692748800000",
    "number": "1003240425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W MACARTHUR ST",
            "address_2": "SUITE 121",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748042007",
            "telephone_number": "405-878-0202",
            "fax_number": "405-273-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 S COMMERCIAL AVE",
            "city": "COLEMAN",
            "state": "TX",
            "postal_code": "768345010",
            "telephone_number": "325-625-3222",
            "fax_number": "325-625-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLEMAN HOME HEALTH AND HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-22",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-878-0202"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coleman, TX

Sources for this page

Verify at the official NPI Registry.