Coleman Investment

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

COLEMAN INVESTMENT

Doing business as

Coleman Investment

Practice address

4001 Willow Rd N
Brooklyn Park, MN 55443-1239

Phone

(612) 968-6205

NPI assigned

Jan 29, 2009

Last updated

Jan 29, 2009By the provider in NPPES

Organization subpart

Yes

Parent organization

9781267As reported in NPPES

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

Authorized official

Name

Albert Coleman Sr., 05-29-1959

Title

Admin

Phone

(612) 968-6205

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Coleman Investment Doing business as

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

{
    "created_epoch": "1233187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233187200000",
    "number": "1952549925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 WILLOW RD N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554431239",
            "telephone_number": "612-968-6205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 WILLOW RD N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554431239",
            "telephone_number": "612-968-6205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLEMAN INVESTMENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "9781267",
        "enumeration_date": "2009-01-29",
        "last_updated": "2009-01-29",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "612-968-6205",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "05-29-1959"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TIN",
            "identifier": "9781267",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coleman Investment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Brooklyn Park, MN
• Providers in Brooklyn Park, MN by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2009; 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.