Provider Demographics
NPI:1073500872
Name:COONEY HEALTH CARE INC
Entity Type:Organization
Organization Name:COONEY HEALTH CARE INC
Other - Org Name:APPLE REHAB COONEY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRENDAN
Authorized Official - Middle Name:
Authorized Official - Last Name:FOLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-989-5053
Mailing Address - Street 1:2555 E BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601-4990
Mailing Address - Country:US
Mailing Address - Phone:406-447-1651
Mailing Address - Fax:406-447-1654
Practice Address - Street 1:2555 E BROADWAY ST
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-4990
Practice Address - Country:US
Practice Address - Phone:406-447-1651
Practice Address - Fax:406-447-1653
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-05
Last Update Date:2012-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT10431314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT310-804Medicaid
MT275080Medicare Oscar/Certification