Provider Demographics
NPI:1841204898
Name:COLE HEALTH, INC.
Entity Type:Organization
Organization Name:COLE HEALTH, INC.
Other - Org Name:COLE REHABILITATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:COLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-379-4373
Mailing Address - Street 1:16835 DEER CREEK DR STE E
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-4968
Mailing Address - Country:US
Mailing Address - Phone:832-423-6730
Mailing Address - Fax:281-540-2789
Practice Address - Street 1:17200 STATE HIGHWAY 249
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77064-1184
Practice Address - Country:US
Practice Address - Phone:281-540-2001
Practice Address - Fax:281-540-2789
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-27
Last Update Date:2022-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX322513801Medicaid
TX322513801Medicaid