NPIMap

Organization Active NPI

Cooper Village

  • Nursing Care Agency
  • Omaha, NE
National Provider Identifier
1972681757
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
110200 Issued in NE
Legal business name
COOPER VILLAGE
Practice address
8502 Mormon Bridge Rd
Omaha, NE 68152-2150
Phone
(402) 457-1398
Fax
(402) 457-1405
NPI assigned
Nov 1, 2006
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
Ms. Sonja Sue McKay
Title
Billing Coordinator
Phone
(402) 457-1398

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X 110200 NE Primary

Addresses

Primary practice location

8502 Mormon Bridge Rd
Omaha, NE 68152-2150

Mailing address

8502 Mormon Bridge Rd
PO Box 12150
Omaha, NE 68152-2150
Phone (402) 457-1398

Other identifiers 1

IdentifierTypeStateIssuer
10025168400MedicaidNE

National Provider Directory

National Provider Directory
Tax ID family
Cooper Village4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972681757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8502 MORMON BRIDGE RD",
            "address_2": "PO BOX 12150",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681522150",
            "telephone_number": "402-457-1398",
            "fax_number": "402-457-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8502 MORMON BRIDGE RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681522150",
            "telephone_number": "402-457-1398",
            "fax_number": "402-457-1405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOPER VILLAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCKAY",
        "authorized_official_first_name": "SONJA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "BILLING COORDINATOR",
        "authorized_official_telephone_number": "402-457-1398",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NE",
            "license": "110200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025168400",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

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.