Organization Active NPI

Cooley Enterprises, Inc.

Doing business as Homewatch CareGivers

  • Home Health Agency
  • Charlotte, NC
National Provider Identifier
1407893225
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC1947 Issued in NC
Legal business name
COOLEY ENTERPRISES, INC.
Doing business as
Homewatch CareGivers
Practice address
8301 University Exec Park Dr
Suite 102
Charlotte, NC 28262-3355
Phone
(704) 503-4660
Fax
(704) 503-4665
NPI assigned
Jun 1, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Phillip Allen Cooley
Title
President
Phone
(704) 503-4660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC1947 NC Primary

Addresses

Primary practice location

8301 University Exec Park Dr
Suite 102
Charlotte, NC 28262-3355

Mailing address

8301 University Exec Park Dr
Suite 102
Charlotte, NC 28262-3355
Phone (704) 503-4660

Other identifiers 2

IdentifierTypeStateIssuer
3409284MedicaidNC
6600744MedicaidNC

Other names 1

  • Homewatch CareGivers Doing business as

National Provider Directory

National Provider Directory

Locations

8301 University Exec Park Dr
Ste 102
Charlotte, NC 28262
Phone (704) 503-4660

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407893225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8301 UNIVERSITY EXEC PARK DR",
            "address_2": "SUITE 102",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282623355",
            "telephone_number": "704-503-4660",
            "fax_number": "704-503-4665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301 UNIVERSITY EXEC PARK DR",
            "address_2": "SUITE 102",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282623355",
            "telephone_number": "704-503-4660",
            "fax_number": "704-503-4665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOLEY ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COOLEY",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-503-4660",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC1947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3409284",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6600744",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Homewatch CareGivers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.