Organization Active NPI

Coopers Corner, Inc

  • Assisted Living Facility
  • New Rochelle, NY
National Provider Identifier
1235826215
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
COOPERS CORNER, INC
Practice address
11 Mill Rd
New Rochelle, NY 10804-2118
Phone
(914) 819-5370
NPI assigned
Apr 20, 2023
Last updated
Apr 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

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

Authorized official

Name
Frank Evegan
Title
Regional Director of Operations
Phone
(862) 235-5755

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

11 Mill Rd
New Rochelle, NY 10804-2118

Mailing address

7939 Honeygo Blvd Ste 124
Nottingham, MD 21236-5991
Phone (862) 235-5755

National Provider Directory

National Provider Directory

Locations

7939 Honeygo Blvd
Ste 124
Nottingham, MD 21236

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1681948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681948800000",
    "number": "1235826215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7939 HONEYGO BLVD STE 124",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212365991",
            "telephone_number": "862-235-5755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 MILL RD",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108042118",
            "telephone_number": "914-819-5370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOPERS CORNER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-20",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A",
        "authorized_official_last_name": "EVEGAN",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "REGIONAL DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "862-235-5755"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Rochelle, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; 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.