NPIMap

Organization Active NPI

G B Cooley Hospital for Retarded

  • Nursing Facility/Intermediate Care Facility
  • Monroe, LA
National Provider Identifier
1154876837
Registry record updated Aug 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
Legal business name
G B COOLEY HOSPITAL FOR RETARDED
Practice address
211 N 3Rd St
Monroe, LA 71201-6731
Phone
(318) 397-6679
Fax
(318) 397-9271
NPI assigned
Aug 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2016

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

Authorized official

Name
Mr. Jimmy Sanderlin, CPA
Title
Cfo
Phone
(318) 397-6679

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X Primary
Mental Illness Community Based Residential Treatment Facility 320800000X

Addresses

Primary practice location

211 N 3Rd St
Monroe, LA 71201-6731

Mailing address

211 N 3Rd St
Monroe, LA 71201-6731
Phone (318) 397-6679

Other names 1

  • G B Cooley Hospital Services Doing business as

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

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1471910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471910400000",
    "number": "1154876837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 N 3RD ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712016731",
            "telephone_number": "318-397-6679",
            "fax_number": "318-397-9271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 N 3RD ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712016731",
            "telephone_number": "318-397-6679",
            "fax_number": "318-397-9271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G B COOLEY HOSPITAL FOR RETARDED",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-23",
        "last_updated": "2016-08-23",
        "status": "A",
        "authorized_official_last_name": "SANDERLIN",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "318-397-6679",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "G B Cooley Hospital Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2016; 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.