NPIMap

Organization Active NPI

G B Cooley Services Prairie Road

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Monroe, LA
National Provider Identifier
1023140241
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
671 Issued in LA
Legal business name
G B COOLEY SERVICES PRAIRIE ROAD
Practice address
2043 Prairie Rd
Monroe, LA 71202-8174
Phone
(318) 396-6300
Fax
(318) 396-3660
NPI assigned
Mar 12, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Ben Pitts
Title
Ceo
Phone
(318) 396-6300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 671 LA Primary

Addresses

Primary practice location

2043 Prairie Rd
Monroe, LA 71202-8174

Mailing address

364 GB Cooley Rd
West Monroe, LA 71291-8866
Phone (318) 396-6300

Other identifiers 1

IdentifierTypeStateIssuer
1719391MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1023140241. Details of each certification follow.

  • CCN 19G407 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 19G407

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
G. B. Cooley Prairie Road Group Home
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Feb 1, 1991
Last certification
Jun 17, 2025
Beds
8
Ownership / control type
Other (specify)
Facility address
2043 Prairie Road
Monroe, LA 71202

National Provider Directory

National Provider Directory
Tax ID family
G B Cooley Servicesday Habilitation29 organizations share this tax ID, including this one

Other organizations with this tax ID 28

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

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023140241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "364 GB COOLEY RD",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712918866",
            "telephone_number": "318-396-6300",
            "fax_number": "318-396-3660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2043 PRAIRIE RD",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712028174",
            "telephone_number": "318-396-6300",
            "fax_number": "318-396-3660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G B COOLEY SERVICES PRAIRIE ROAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PITTS",
        "authorized_official_first_name": "BEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "318-396-6300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "LA",
            "license": "671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1719391",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.