Active NPI
Cooney Health Care Inc
- Skilled Nursing Facility
- Helena, MT
National Provider Identifier
1073500872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 10431
- Legal business name
- COONEY HEALTH CARE INC
- Doing business as
- Apple Rehab Cooney
- Practice address
- 2555 E Broadway St
Helena, MT 59601-4990 - Phone
- (406) 447-1651
- Fax
- (406) 447-1653
- NPI assigned
- Oct 5, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brendan Foley
- Title
- President
- Phone
- (860) 989-5053
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 10431 | MT | Primary |
Addresses
Primary practice location
2555 E Broadway St
Helena, MT 59601-4990
Mailing address
2555 E Broadway St
Helena, MT 59601-4990
Phone (406) 447-1651
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 310-804 | Medicaid | MT |
Other names 1
- Apple Rehab Cooney
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060306000557 | MT | Part B Supplier - Mass Immunization (Roster Biller Only) | 4688680218 |
2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Augusta, MT; Helena, MT |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Case Management Agency
- Helena, MT
- NPI 1700913001
O20060306000557
National Provider Directory
National Provider Directory- Tax ID family
- Lewis Clark City-County Health Department
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Public Health or Welfare Agency
- Helena, MT
- NPI 1477676005
Locations
2555 E Broadway St
Helena, MT 59601
Phone (406) 447-1650
Interoperability endpoints
- apple@apple.directmessaging.net
- tdunn@apple.directmessaging.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128470400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1353369600000",
"number": "1073500872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2555 E BROADWAY ST",
"city": "HELENA",
"state": "MT",
"postal_code": "596014990",
"telephone_number": "406-447-1651",
"fax_number": "406-447-1654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2555 E BROADWAY ST",
"city": "HELENA",
"state": "MT",
"postal_code": "596014990",
"telephone_number": "406-447-1651",
"fax_number": "406-447-1653"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COONEY HEALTH CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-05",
"last_updated": "2012-11-20",
"status": "A",
"authorized_official_last_name": "FOLEY",
"authorized_official_first_name": "BRENDAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "860-989-5053"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MT",
"license": "10431",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "310-804",
"state": "MT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Apple Rehab Cooney",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Helena, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.