Coop Managed Health Care LLC

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

RN 9245770 Issued in FL

Legal business name

COOP MANAGED HEALTH CARE LLC

Practice address

5028 Ashley Lake Drive
Unit 331
Boynton Beach, FL 33437

Phone

(704) 719-0161

NPI assigned

Jan 24, 2007

Last updated

Aug 8, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Linda Kay Fuller, RN

Title

President

Phone

(704) 719-0161

Specialties & licenses 1

Addresses

Tax ID family

Co-Op Care Agency2 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.

• Co-Op Managed Health Care

  dba Co-Op Care Agency

  • Community/Behavioral Health Agency
  • Chesapeake, VA
  • NPI 1932385945
  NPD tax ID

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218153600000",
    "number": "1851446470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5028 ASHLEY LAKE DR",
            "address_2": "UNIT 331",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373176",
            "telephone_number": "704-719-0161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5028 ASHLEY LAKE DRIVE",
            "address_2": "UNIT 331",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "33437",
            "telephone_number": "704-719-0161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOP MANAGED HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2008-08-08",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-719-0161",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "FL",
            "license": "RN 9245770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Conway, ARNP
• Brianna Elizabeth Cook
• Jessica Patricia Cook, PT, DPT
• Katherine Renee Cook, PHYSICIAN ASSISTANT
• Tamara Cook
• Daryl Cooper
• Jennifer Cooper
• Cora Health Services (CORA Rehabilitation Clinics)
• Cora Health Services
• Cora Health Services Inc (CORA Physical Therapy - West Boynton Beach)

• Health Maintenance Organization in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Health Maintenance Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2008; 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.