Cooperative Home Care Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

00290778 Issued in MO

Legal business name

COOPERATIVE HOME CARE INC.

Doing business as

Cooperative Hospice

Practice address

1924 Marconi Ave
1924 Marconi Avenue
Saint Louis, MO 63110-3038

Phone

(314) 571-7855

Fax

(314) 667-3110

NPI assigned

Sep 1, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Michel I. Waks

Title

President and Ceo

Phone

(314) 772-8585

Specialties & licenses 1

Addresses

Other names 1

• Cooperative Hospice Doing business as

Locations

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

{
    "created_epoch": "1441065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441065600000",
    "number": "1073980504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1924 MARCONI AVE",
            "address_2": "1924 MARCONI AVENUE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631103038",
            "telephone_number": "314-571-7855",
            "fax_number": "314-667-3110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924 MARCONI AVE",
            "address_2": "1924 MARCONI AVENUE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631103038",
            "telephone_number": "314-571-7855",
            "fax_number": "314-667-3110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOPERATIVE HOME CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-01",
        "last_updated": "2015-09-01",
        "status": "A",
        "authorized_official_last_name": "WAKS",
        "authorized_official_first_name": "MICHEL",
        "authorized_official_middle_name": "I.",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "314-772-8585",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MO",
            "license": "00290778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cooperative Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tia Nicole Cooper, BSC, MHA
• Victoria Lyn Cooper, LCSW
• Cooperative Home Care
• Cooperative Home Care
• Cooperative Home Care
• Cooperative Home Care, Inc.
• Cooperative Home Care, Inc.
• Cooperative Home Care, Inc.
• Krista Cooperman
• Ari Steven Tishelman Coopersmith, MD

• Community Based Hospice Care Agency in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Community Based Hospice Care Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2015; 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.