NPIMap

Organization Active NPI

G B Cooley Services/Day Habilitation

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • West Monroe, LA
National Provider Identifier
1104090752
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
ADC 9827 Issued in LA
Legal business name
G B COOLEY SERVICES/DAY HABILITATION
Practice address
364 GB Cooley Rd
West Monroe, LA 71291-8866
Phone
(318) 396-6300
Fax
(318) 396-7663
NPI assigned
Apr 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2008

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

Authorized official

Name
Mr. Jimmy Sanderlin, CPA
Title
Director of Finance
Phone
(318) 396-6300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X ADC 9827 LA Primary

Addresses

Primary practice location

364 GB Cooley Rd
West Monroe, LA 71291-8866

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
1957437MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
G B Cooley Services Latham29 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": "1208217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1104090752",
    "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": "318-396-7663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 GB COOLEY RD",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712918866",
            "telephone_number": "318-396-6300",
            "fax_number": "318-396-7663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G B COOLEY SERVICES/DAY HABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-15",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "SANDERLIN",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "318-396-6300",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "LA",
            "license": "ADC 9827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1957437",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; 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.