Cooper Village Corporation

LBN: Cooper Village Corporation
Cooper Village Corporation is an health care organization with primary practice located at 3518 Blue Meadow Ln , Houston TX 77039-5720. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Agencies / Case Management, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is the primary health care specialty. Cooper Village Corporation can be contacted via phone (281) 771-4200, or through Booker, Tyrena Lana via phone (281) 771-4200.

Contact Information

Primary practice address
3518 Blue Meadow Ln Houston TX 77039-5720
Phone: (281) 771-4200
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Booker, Tyrena Lana
Phone: (281) 771-4200

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Agencies / Case Management 251B00000X
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1710476775
LBN Legal business name Cooper Village Corporation
DBA Doing business as
Authorized official Booker, Tyrena Lana
Entity Organization
Organization subpart 1 Yes
Enumeration date May 5th, 2018
Last updated May 5th, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710476775 NPPES
Texas MEDICAID 1356705024

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