Provider Demographics
NPI:1851633929
Name:COACHMAN, INC.
Entity Type:Organization
Organization Name:COACHMAN, INC.
Other - Org Name:TWIN OAKS A.L.F.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ANGEL
Authorized Official - Middle Name:L
Authorized Official - Last Name:MALAPIRA
Authorized Official - Suffix:
Authorized Official - Credentials:RETIRED MILITARY
Authorized Official - Phone:727-442-2971
Mailing Address - Street 1:PO BOX 8071
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33758-8071
Mailing Address - Country:US
Mailing Address - Phone:727-442-2971
Mailing Address - Fax:
Practice Address - Street 1:2143 NE COACHMAN RD
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33765-2633
Practice Address - Country:US
Practice Address - Phone:727-442-2971
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-26
Last Update Date:2013-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL7589310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility