Cobbo Incorporated

Primary specialty

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

License

1017580 Issued in MN

Legal business name

COBBO INCORPORATED

Practice address

5826 Nicollet Ave
Minneapolis, MN 55419-2404

Phone

(612) 201-9379

Fax

(612) 729-9266

NPI assigned

Apr 3, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Sean Patrick Michael Campbell

Title

President

Phone

(612) 201-9379

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760503890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2513 KENNELLY PL",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553377006",
            "telephone_number": "612-201-9379",
            "fax_number": "612-729-9266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5826 NICOLLET AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554192404",
            "telephone_number": "612-201-9379",
            "fax_number": "612-729-9266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COBBO INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "PATRICK MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-201-9379",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MN",
            "license": "1017580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CN Services, Inc.
• Alexander Coakley, MD
• Christina Coatta, MSW, LICSW
• Donna Cobb, MPH
• Loren Carter Cobb, MD
• Alicia Cobenais
• Catherine Cochran
• Julius Asvelt Cochran
• Kimberly Renee Cochran, MD
• Margaret Pinnell Cochrane, MD

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Minnesota

• 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.