Active NPI
Wali Abdul Cooper II
- Personal Care Attendant
- Colonial Heights, VA
National Provider Identifier
1396654448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- License
- HCO0006201
- Practice address
- 70 Southpark Mall
Colonial Heights, VA 23834-2962 - Phone
- (267) 596-6607
- NPI assigned
- Sep 3, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | HCO0006201 | VA | Primary |
Addresses
Primary practice location
70 Southpark Mall
Colonial Heights, VA 23834-2962
Mailing address
45 Colonial CT
Colonial Heights, VA 23834-3163
Phone (267) 596-6607
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788393600000",
"number": "1396654448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 COLONIAL CT",
"city": "COLONIAL HEIGHTS",
"state": "VA",
"postal_code": "238343163",
"telephone_number": "267-596-6607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 SOUTHPARK MALL",
"city": "COLONIAL HEIGHTS",
"state": "VA",
"postal_code": "238342962",
"telephone_number": "267-596-6607"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "WALI",
"middle_name": "ABDUL",
"name_suffix": "II",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-09-03",
"last_updated": "2026-09-03",
"certification_date": "2026-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "VA",
"license": "HCO0006201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colonial Heights, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.