Provider Demographics
NPI:1639895063
Name:OREDEIN-COLEMAN LLC
Entity Type:Organization
Organization Name:OREDEIN-COLEMAN LLC
Other - Org Name:MAGNOLIA PERSONAL HOME CARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:OREDEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-215-5214
Mailing Address - Street 1:30427 ORCHARD PLACE LN
Mailing Address - Street 2:
Mailing Address - City:FULSHEAR
Mailing Address - State:TX
Mailing Address - Zip Code:77423-0139
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:30427 ORCHARD PLACE LN
Practice Address - Street 2:
Practice Address - City:FULSHEAR
Practice Address - State:TX
Practice Address - Zip Code:77423-0139
Practice Address - Country:US
Practice Address - Phone:281-215-5214
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-18
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care