Provider Demographics
NPI:1013680479
Name:COOPER COMPASSION HEALTHCARE LLC
Entity Type:Organization
Organization Name:COOPER COMPASSION HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHANTELA
Authorized Official - Middle Name:
Authorized Official - Last Name:COOPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-618-2988
Mailing Address - Street 1:1044 ORANGE AVE
Mailing Address - Street 2:
Mailing Address - City:SHARON HILL
Mailing Address - State:PA
Mailing Address - Zip Code:19079-1812
Mailing Address - Country:US
Mailing Address - Phone:610-618-2988
Mailing Address - Fax:
Practice Address - Street 1:200 BARR HARBOR DR STE 400W
Practice Address - Street 2:
Practice Address - City:CONSHOHOCKEN
Practice Address - State:PA
Practice Address - Zip Code:19428-2977
Practice Address - Country:US
Practice Address - Phone:610-618-2988
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-30
Last Update Date:2021-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care