Organization Active NPI

Cooperating Community Programs, Inc

  • Foster Care Agency
  • Saint Paul, MN
National Provider Identifier
1255583860
Registry record updated Oct 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
Legal business name
COOPERATING COMMUNITY PROGRAMS, INC
Doing business as
CCP, Inc
Practice address
475 Cleveland Ave N
Suite 101
Saint Paul, MN 55104-5031
Phone
(651) 646-2400
Fax
(651) 646-8024
NPI assigned
Oct 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2008

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

Authorized official

Name
Ms. April Bauer
Title
Finance Administrator
Phone
(651) 646-2400

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X
Foster Care Agency 253J00000X Primary
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

475 Cleveland Ave N
Suite 101
Saint Paul, MN 55104-5031

Mailing address

475 Cleveland Ave N
Suite 101
Saint Paul, MN 55104-5031
Phone (651) 646-2400

Other identifiers 2

IdentifierTypeStateIssuer
A034817101MedicaidMN
A034817100MedicaidMN

Other names 1

  • CCP, Inc Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1223942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223942400000",
    "number": "1255583860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 CLEVELAND AVE N",
            "address_2": "SUITE 101",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551045031",
            "telephone_number": "651-646-2400",
            "fax_number": "651-646-8024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 CLEVELAND AVE N",
            "address_2": "SUITE 101",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551045031",
            "telephone_number": "651-646-2400",
            "fax_number": "651-646-8024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOPERATING COMMUNITY PROGRAMS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-14",
        "last_updated": "2008-10-14",
        "status": "A",
        "authorized_official_last_name": "BAUER",
        "authorized_official_first_name": "APRIL",
        "authorized_official_title_or_position": "FINANCE ADMINISTRATOR",
        "authorized_official_telephone_number": "651-646-2400",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A034817101",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A034817100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CCP, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.