G B COOLEY SERVICES SUE DRIVE (NPI# 1033241286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033241286 |
| Entity Type | Organization |
| Organization Name | G B COOLEY SERVICES SUE DRIVE |
| Practice Address |
214 Sue Dr Monroe LA 71202-7536 |
| Mailing Address |
364 Gb Cooley Rd West Monroe LA 71291-8866 |
| Practice Telephone | 3183966300 |
| Practice Fax Number | 3183963660 |
| Mailing Telephone | 3183966300 |
| Mailing Fax Number | 3183963660 |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. BEN PITTS (CEO) |
| Authorized Official Telephone | 3183966300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 539 | LA | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1717843 | 05 |
| Street Address |
214 SUE DR |
| City | MONROE |
| State | LA |
| Zip Code | 71202-7536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170726 | Ap&g Transportation LLC | Non-emergency Medical Transport (VAN) | 211 Malvern St., Monroe, LA 71202 | 2020-09-30 |
| 1902419625 | Marilyn F Goldman | Non-emergency Medical Transport (VAN) | 1001 Wilton Dr, Monroe, LA 71202 | 2020-08-24 |
| 1114583069 | Brandon Rashaard Collins | Case Manager/Care Coordinator | 5504 Robinson Drive, Monroe, LA 71202 | 2019-05-16 |
| 1285131326 | Jerrel Stills | Counselor | 296 Forest Oaks Rd, Monroe, LA 71202 | 2018-04-06 |
| 1164930269 | Jakira Gibson | Case Manager/Care Coordinator | 308 Vegas Dr, Monroe, LA 71202 | 2018-01-11 |
| 1457870321 | Whitney Nicole Allen | Counselor | 806 North 31st Street, Monroe, LA 71202 | 2017-09-12 |
| 1821535527 | Collins Wade | Counselor | 808 S. Second St., Monroe, LA 71202 | 2017-01-20 |
| 1821533639 | Geoi Smart | Social Worker | 1602 Oaklawn Dr, Monroe, LA 71202 | 2017-01-03 |
| 1699124214 | Melody Miller | Case Manager/Care Coordinator | 205 Stacy Dr Apt A, Monroe, LA 71202 | 2016-06-04 |
| 1548618192 | Samuel Anjera Spivey Jr. | Case Manager/Care Coordinator | 110 Blackwood Dr, Monroe, LA 71202 | 2016-05-24 |
| Find all providers in zip 71202 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275989816 | Elite Care Services, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 134 E East Ave, Monroe, NC 28110-2848 | 2016-05-13 |
| 1780954024 | Glenwood Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1136b Springer Ln, Monroe, GA 30655-3303 | 2012-01-04 |
| 1851661193 | M Evelyn Host Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1761 Ridgecrest Dr, Monroe, GA 30655-5273 | 2012-01-04 |
| 1356611693 | F Carey Host Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1609 Spring Hill Ct, Monroe, GA 30656-7201 | 2012-01-04 |
| 1124336235 | B & W Residential Care Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 902 Amber Trl, Monroe, GA 30655-8481 | 2010-09-23 |
| 1316132665 | Alpha and Omega Home Care Services of Monroe,inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 205 Evers St, Monroe, LA 71202-6908 | 2007-09-10 |
| 1063624625 | Fields De La Narurlae | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2828 Gay Dr, Monroe, LA 71202-6765 | 2007-05-04 |
| 1528182714 | G B Cooley Moore Rd | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 612 Moore Rd, Monroe, LA 71202-7447 | 2007-03-16 |
| 1639202617 | G B Cooley Services Walnut | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 113 Arkansas Ave, Monroe, LA 71201-6205 | 2007-03-13 |
| 1740312933 | G B Cooley Services Latham | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 256 Latham Ln, Monroe, LA 71202-8565 | 2007-03-12 |
| Find all providers in MONROE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.