Provider Demographics
NPI:1821123738
Name:COTEL HEALTHCARE SERVICES LLC
Entity Type:Organization
Organization Name:COTEL HEALTHCARE SERVICES LLC
Other - Org Name:COMMUNITY HEALTH NETWORK HOME HEALTH SERVICES, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LINH
Authorized Official - Middle Name:
Authorized Official - Last Name:TRAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-919-4789
Mailing Address - Street 1:4005 TECHNOLOGY RD STE 1105
Mailing Address - Street 2:
Mailing Address - City:ANGLETON
Mailing Address - State:TX
Mailing Address - Zip Code:77515-2556
Mailing Address - Country:US
Mailing Address - Phone:281-824-1477
Mailing Address - Fax:812-727-0700
Practice Address - Street 1:4005 TECHNOLOGY RD STE 1105
Practice Address - Street 2:
Practice Address - City:ANGLETON
Practice Address - State:TX
Practice Address - Zip Code:77515-2556
Practice Address - Country:US
Practice Address - Phone:281-824-1477
Practice Address - Fax:812-727-0700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010388251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001013132OtherPROVIDER VENDOR NUMBER