Cocojaydy Support Care Services

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

COCOJAYDY SUPPORT CARE SERVICES

Doing business as

CocoJaydy Support Care Services

Practice address

1957 Blairs Ferry Rd NE Ste 100
Cedar Rapids, IA 52402-5833

Phone

(319) 200-5668

NPI assigned

Nov 29, 2022

Last updated

Nov 29, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Colette Ndigyenouba

Title

President

Phone

(319) 671-4013

Specialties & licenses 3

Addresses

Other names 1

• CocoJaydy Support Care Services Doing business as

Locations

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

{
    "created_epoch": "1669680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669680000000",
    "number": "1316657539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1957 BLAIRS FERRY RD NE STE 100",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524025833",
            "telephone_number": "319-200-5668",
            "fax_number": "877-373-1344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1957 BLAIRS FERRY RD NE STE 100",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524025833",
            "telephone_number": "319-200-5668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COCOJAYDY SUPPORT CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-29",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A",
        "authorized_official_last_name": "NDIGYENOUBA",
        "authorized_official_first_name": "COLETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "319-671-4013"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CocoJaydy Support Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amy Marie Cobb, PHARMD
• Howard Lee Cobb Jr., PHARMD
• Breeana Coberley, TLMHC
• Casey Allen Coberly, D.C.
• Taryn Cochenour
• Lisa Michelle Coester, MD
• Jason Matthew Cogdill, MD
• Cogent Healthcare of Iowa, PC
• Shana Lea Coker, RN, MSN, AOCNS, ARNP
• Coldstream Health, LLC

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; 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.