J. R. Coleman Community Renovation Corp.

LBN: J. R. Coleman Community Renovation Corp.
J. R. Coleman Community Renovation Corp. is an health care organization with primary practice located at 1731 Grace Ave Ne , Canton OH 44705-2261. The organization recently has only one registered license in Other Service Providers / Home Modifications, which is considered as the primary health care specialty. J. R. Coleman Community Renovation Corp. can be contacted via phone (330) 455-3873, or through Thompson, Tom via phone (330) 455-3873.

Contact Information

Primary practice address
1731 Grace Ave Ne Canton OH 44705-2261
Phone: (330) 455-3873
Fax: (330) 455-3934
Website:
Map and Directions
Authorized official contact:
Name: Thompson, Tom
Phone: (330) 455-3873

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Home Modifications 171WH0202X

Profile Details

NPI number 1114336625
LBN Legal business name J. R. Coleman Community Renovation Corp.
DBA Doing business as
Authorized official Thompson, Tom
Entity Organization
Organization subpart 1 No
Enumeration date Aug 8th, 2014
Last updated Aug 8th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114336625 NPPES
Ohio MEDICAID 0809227

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