Organization Active NPI

Coleman Healthcare LLC

  • Home Health Agency
  • Saint Louis, MO
National Provider Identifier
1154012912
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
COLEMAN HEALTHCARE LLC
Practice address
4433 Woodson Rd Ste 101
Saint Louis, MO 63134-3713
Phone
(314) 279-1641
NPI assigned
May 15, 2023
Last updated
May 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Authorized official

Name
Crystal Crowder
Title
Owner
Phone
(314) 502-7752

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4433 Woodson Rd Ste 101
Saint Louis, MO 63134-3713

Mailing address

4433 Woodson Rd Ste 101
Saint Louis, MO 63134-3713
Phone (314) 279-1641

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684108800000",
    "number": "1154012912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4433 WOODSON RD STE 101",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631343713",
            "telephone_number": "314-279-1641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4433 WOODSON RD STE 101",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631343713",
            "telephone_number": "314-279-1641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLEMAN HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-15",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A",
        "authorized_official_last_name": "CROWDER",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-502-7752"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.