Cooper Creek Facility LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

COOPER CREEK FACILITY LLC

Doing business as

Cooper Creek Care Center

Practice address

5381 Desoto Road
Sarasota, FL 34235

Phone

(941) 355-6111

NPI assigned

Apr 22, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Michael Bleich

Title

Authorized Representative

Phone

(845) 641-8314

Specialties & licenses 1

Addresses

Other names 1

• Cooper Creek Care Center Doing business as

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

{
    "created_epoch": "1524355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524355200000",
    "number": "1366939647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 RELLA BLVD STE 200",
            "city": "MONTEBELLO",
            "state": "NY",
            "postal_code": "109014239",
            "telephone_number": "845-490-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5381 DESOTO ROAD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "34235",
            "telephone_number": "941-355-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOPER CREEK FACILITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-22",
        "last_updated": "2018-04-22",
        "status": "A",
        "authorized_official_last_name": "BLEICH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "845-641-8314",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cooper Creek Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paul Homer Cook
• Kyle Cookerly
• Edwin V Cooksey, MD
• Shannon Cooney
• William M Cooney, M.D.
• Daniel M Cooper, MD PA
• Paula Cooper, PHD
• Sarah Elise Cooper, LCSW, MSW
• Shanice Lanee' Cooper
• Dori H Copeland, P.A

• Skilled Nursing Facility in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2018; 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.