Provider Demographics
NPI:1134951163
Name:COOPERS HOME CARE SOLUTIONS, LLC
Entity type:Organization
Organization Name:COOPERS HOME CARE SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:AISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:COOPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-233-2118
Mailing Address - Street 1:505 SAGE BRK
Mailing Address - Street 2:
Mailing Address - City:PIKE ROAD
Mailing Address - State:AL
Mailing Address - Zip Code:36064-4914
Mailing Address - Country:US
Mailing Address - Phone:334-840-2266
Mailing Address - Fax:
Practice Address - Street 1:2421 PRESIDENTS DR STE B-21
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36116-1632
Practice Address - Country:US
Practice Address - Phone:334-539-7017
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-19
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health