Cooper-Solice Inc Dba Asbury Place

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL9099 Issued in FL

Legal business name

COOPER-SOLICE INC DBA ASBURY PLACE

Practice address

4916 Mobile Hwy
Pensacola, FL 32506-3230

Phone

(850) 453-0100

Fax

(850) 453-0109

NPI assigned

Aug 9, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Rose K Creighton

Title

Administrator

Phone

(850) 453-0100

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Asbury Place Doing business as

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

{
    "created_epoch": "1344470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344470400000",
    "number": "1295082246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4916 MOBILE HWY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325063230",
            "telephone_number": "850-453-0100",
            "fax_number": "850-453-0109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4916 MOBILE HWY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325063230",
            "telephone_number": "850-453-0100",
            "fax_number": "850-453-0109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOPER-SOLICE INC DBA ASBURY PLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-09",
        "last_updated": "2012-08-09",
        "status": "A",
        "authorized_official_last_name": "CREIGHTON",
        "authorized_official_first_name": "ROSE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "850-453-0100",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL9099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "675156301",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Asbury Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie Corbitt Cook, OTR/L, CHT
• Taylor Jean Cooke, DNP, FNP-C
• Ashley Cool, RCSWI #15001
• Micaela Cooley
• Timothy E Coonrod, NCC
• Donna G Cooper, CRNP
• Kandia Latai Cooper
• Ryan Cooper, M.D.
• Tawana Cooper, ARNP
• Thomas Homer Cooper, D.D.S.

• Assisted Living Facility in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2012; 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.