Coppertop Services LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

COPPERTOP SERVICES LLC

Practice address

119 Industrial Ave NE
Albuquerque, NM 87107-2283

Phone

(505) 721-9703

NPI assigned

Mar 11, 2024

Organization subpart

No

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

Authorized official

Name

Ian Collyer

Title

Executive Director

Phone

(505) 900-1933

Specialties & licenses 1

Addresses

Other names 1

• Telos Community Inclusion, LLC. Doing business as

Tax ID family

Coppertop Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Coppertop Services, LLC

  • Developmental Disabilities Clinic/Center
  • Albuquerque, NM
  • NPI 1265290480
  NPD tax ID

Locations

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

{
    "created_epoch": "1710115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710201600000",
    "number": "1598523920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13644 N RIM RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871126399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 INDUSTRIAL AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871072283",
            "telephone_number": "505-721-9703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPPERTOP SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-11",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A",
        "authorized_official_last_name": "COLLYER",
        "authorized_official_first_name": "IAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "505-900-1933"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Telos Community Inclusion, LLC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephen Copeland, M.D.
• Ellen Ann Coplen
• Robert Coplen, RPH
• Joan G Coppens, LPCC
• Copper Key Psychology, LLC
• Coppertop Services, LLC
• Juliet Coquia, MD
• Michael A Coquia, MD
• Mariah Allyce Coraci
• Coral Community Charter

• Adult Day Care Clinic/Center in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Adult Day Care Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; 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.