Cooperative Housing Corporation

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

18A201 Issued in NJ

Legal business name

COOPERATIVE HOUSING CORPORATION

Practice address

2 Lindbergh Ave
Warren, NJ 07059-5227

Phone

(908) 526-8130

Fax

(908) 575-0771

NPI assigned

Jul 11, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Merrianne R Vannote

Title

Finance Director

Phone

(908) 526-8130

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184112000000",
    "number": "1003015017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 E HIGH ST",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088762310",
            "telephone_number": "908-526-8130",
            "fax_number": "908-575-0771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 LINDBERGH AVE",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070595227",
            "telephone_number": "908-526-8130",
            "fax_number": "908-575-0771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOPERATIVE HOUSING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-11",
        "last_updated": "2007-07-11",
        "status": "A",
        "authorized_official_last_name": "VANNOTE",
        "authorized_official_first_name": "MERRIANNE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "908-526-8130"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NJ",
            "license": "18A201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW JERSEY DEPARTMENT OF",
            "identifier": "18A201",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0134155",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.