Individual provider · NPI-1

Jason Coleman

Home Health · Killeen, TX

NPI number1083313399

StatusActive

Last updated in NPPESFeb 24, 2023

Details

NPI: 1083313399
Entity type: Individual (NPI-1)
Name: Jason Coleman
Sex: Male
Sole proprietor: Yes
Enumeration date: Feb 24, 2023
Certification date: Feb 24, 2023
Last updated: Feb 24, 2023

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
251E00000X	Home Health	–	–	Yes
101YA0400X	Counselor, Addiction (Substance Use Disorder)	–	–
101YM0800X	Counselor, Mental Health	–	–
103TP0016X	Psychologist, Prescribing (Medical)	–	–
104100000X	Social Worker	–	–
156FX1900X	Technician/Technologist, Orthoptist	–	–
171M00000X	Case Manager/Care Coordinator	–	–
372600000X	Adult Companion	–	–
171W00000X	Contractor	–	–
253Z00000X	In Home Supportive Care	–	–
310400000X	Assisted Living Facility	–	–
374U00000X	Home Health Aide	–	–

Practice location

2801 Woodlands Dr
Killeen, TX 76549-7702

Phone 737-465-9647

Mailing address

2801 Woodlands Dr
Killeen, TX 76549-7702

Phone 737-465-9647

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