Co-Operative Care

Primary specialty

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

Legal business name

CO-OPERATIVE CARE

Practice address

4310 Alderny PL
High Point, NC 27265-9277

Phone

(336) 303-9020

NPI assigned

Dec 1, 2016

Organization subpart

No

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

Authorized official

Name

Carl Anthony Samuels, C.S.A.CNPI 1033652532

Title

Owner

Phone

(336) 303-9020

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carl Samuels, CADC

  • Addiction (Substance Use Disorder) Counselor
  • High Point, NC
  • NPI 1033652532

  Community Based Residential Treatment Facility, Intellectual and/Or Developmental Disabilities

  NPD (past) Authorized official

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

{
    "created_epoch": "1480550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480550400000",
    "number": "1376086876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 ALDERNY PL",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272659277",
            "telephone_number": "336-303-9020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4310 ALDERNY PL",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272659277",
            "telephone_number": "336-303-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CO-OPERATIVE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-01",
        "last_updated": "2016-12-01",
        "status": "A",
        "authorized_official_last_name": "SAMUELS",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-303-9020",
        "authorized_official_credential": "C.S.A.C"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas Ray Cline, MSN, APRN, AGACNP-BC
• Emily Cline, NP
• Genevieve Clinton, RN
• Vicki Ann Clinton
• CMC-Northeast, Inc.
• William Edward Cobb III, CRNA
• Ronald G. Cochran, CRNA
• Stacie Smith Cockerham, NP
• Julian Codrington
• Stacy B. Coe, MDIV, MSW, LCSW

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in High Point, NC
• Providers in High Point, NC by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; 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.