Organization Active NPI

Cooperative Home Care Associates, Inc

  • Home Health Agency
  • Bronx, NY
National Provider Identifier
1013408475
Registry record updated May 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
0283L001 Issued in NY
Legal business name
COOPERATIVE HOME CARE ASSOCIATES, INC
Practice address
400 E Fordham Rd
Bronx, NY 10458-5039
Phone
(718) 742-5764
Fax
(718) 993-0971
NPI assigned
May 22, 2018
Organization subpart
Yes
Parent organization
COOPERATIVE HOME CARE ASSOCIATES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 22, 2018

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

Authorized official

Name
Adria Powell
Title
President/Ceo
Phone
(718) 742-5764

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 0283L001 NY Primary

Addresses

Primary practice location

400 E Fordham Rd
Bronx, NY 10458-5039

Mailing address

400 E Fordham Rd
Bronx, NY 10458-5039
Phone (718) 742-5764

Other identifiers 2

IdentifierTypeStateIssuer
02960456MedicaidNY
02936327MedicaidNY

Other names 1

  • Cooperative Consumer Choice Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cooperative Home Care Associates Inc2 organizations share this tax ID, including this one
Part of
Cooperative Home Care Associates Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526947200000",
    "number": "1013408475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E FORDHAM RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104585039",
            "telephone_number": "718-742-5764",
            "fax_number": "718-993-0971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E FORDHAM RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104585039",
            "telephone_number": "718-742-5764",
            "fax_number": "718-993-0971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOPERATIVE HOME CARE ASSOCIATES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COOPERATIVE HOME CARE ASSOCIATES, INC",
        "enumeration_date": "2018-05-22",
        "last_updated": "2018-05-22",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "ADRIA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "718-742-5764"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "0283L001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02960456",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02936327",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cooperative Consumer Choice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2018; 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.