Minnie Jean Cooper

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

AR5491 Issued in AR

Practice address

1985 Kroger Dr Ste C11
West Memphis, AR 72301-1771

Phone

(870) 551-4028

NPI assigned

Aug 13, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1565654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565654400000",
    "number": "1689220816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1985 KROGER DR STE C11",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723011771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1985 KROGER DR STE C11",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723011771",
            "telephone_number": "870-551-4028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "MINNIE",
        "middle_name": "JEAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-13",
        "last_updated": "2019-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "AR",
            "license": "AR5491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "office",
            "affiliation": "N",
            "address_1": "1985 Kroger Dr Ste C11",
            "city": "West Memphis",
            "state": "AR",
            "country_code": "US",
            "postal_code": "723011771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Comprehensive Medical LLC
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• Charles Richard Connell, D.D.S.
• Alannah Conrey, COTA/L
• Jerry Wayne Cook I, DDS
• Larry David Corbett, LPN
• Counseling Services of Eastern Arkansas
• Terri Covington, MHPP
• James Langston Cowan III, M.D.
• Eric Cox

• In Home Supportive Care Agency in West Memphis, AR
• Providers in West Memphis, AR by specialty
• In Home Supportive Care Agency in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; 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.