PAUL J COOPER CENTER FOR HUMAN SERVICES, INC - IRA (NPI# 1790956548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790956548 |
| Entity Type | Organization |
| Organization Name | PAUL J COOPER CENTER FOR HUMAN SERVICES, INC - IRA |
| Practice Address |
519 Rockaway Ave Brooklyn NY 11212-5638 |
| Practice Telephone | 7184985555 |
| Mailing Telephone | 7184985555 |
| Enumeration Date | 2008-03-20 |
| Last Update Date | 2008-03-20 |
| Authorized Official Name | CINDY AMBROSE (BILLING OFFICER) |
| Authorized Official Telephone | 7184985555 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02257385 | 05 |
| Street Address |
519 ROCKAWAY AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11212-5638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922337302 | Laurice Avina Johnson | Social Worker | 519 Rockaway Ave, Brooklyn, NY 11212-5638 | 2009-12-15 |
| 1609047455 | Paul J Cooper Center for Human Services, Inc - Ira Supp | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 519 Rockaway Ave, Brooklyn, NY 11212-5638 | 2008-03-20 |
| 1154592806 | Paul J Cooper Center for Human Services, Inc - Msc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 519 Rockaway Ave, Brooklyn, NY 11212-5638 | 2008-03-20 |
| 1508037359 | Paul J Cooper Center for Human Services, Inc - East Icf | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 519 Rockaway Ave, Brooklyn, NY 11212-5638 | 2008-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396365136 | Ama Asabea Asare | Student in an Organized Health Care Education/Training Program | Emergency Medicine, Brookdale University Hospital and M, 1 Brookdale Plaza, Brooklyn, NY 11212 | 2020-04-22 |
| 1811516560 | Amrusha Musunuru | Student in an Organized Health Care Education/Training Program | Room 222 Chc, Department of Surgical Services, The Broo, Brookdale, NY 11212 | 2020-04-13 |
| 1508414707 | Sri Lakshmi Atthota | Student in an Organized Health Care Education/Training Program | Brookdale University Hospital,room 222, Chc, One Brookdale Plaza, Brooklyn,new York, NY 11212 | 2019-08-30 |
| 1457812273 | Shane Devanand Naidoo | Student in an Organized Health Care Education/Training Program | Dept of Emergency Medicine, Brookdale Hospital Med Cntr, 1 Brookdale Plaza, Brooklyn, NY 11212 | 2019-03-26 |
| 1790262467 | Xiao Xiong You | Student in an Organized Health Care Education/Training Program | 1 Brookdale Plaza, Department of Adult Psychiatry, Brooklyn, NY 11212 | 2018-07-25 |
| 1215426143 | Danielle Levy | Counselor | 298 Hegeman Ave, Brooklyn, NY 11212 | 2018-05-07 |
| 1699298026 | Alexander Andreev | Student in an Organized Health Care Education/Training Program | 1 Brookdale Plaza, Brooklyn, Brooklyn, NY 11212 | 2017-07-18 |
| 1598288011 | Naga Venkata Divya Challa | Student in an Organized Health Care Education/Training Program | One Brookdale Plaza, 8 Chc Room 801-5, Department of Pediatrics, Brookdale University Hospital, Brooklyn, NY 11212 | 2017-07-18 |
| 1912428921 | Sadrac Edouard | Licensed Practical Nurse | 498 East 94th St, Brooklyn, NY 11212 | 2017-06-29 |
| 1023544194 | Orrett Layne | Licensed Practical Nurse | 279 East 92nd Street, Brooklyn, NY 11212 | 2017-05-10 |
| Find all providers in zip 11212 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558733568 | Task Recovery Corp | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2716 Avenue Y, Brooklyn, NY 11235-2008 | 2015-10-29 |
| 1245561539 | Carol Lilieth Adamson | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1119 E 59th St, Brooklyn, NY 11234-3301 | 2010-01-26 |
| 1285873778 | Raquel Gabriel | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1309 Park Pl, Brooklyn, NY 11213-2801 | 2009-02-07 |
| 1699921213 | Elizabeth Yusuf | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 959 Saint Marks Avenue, Brooklyn, NY 11213 | 2008-08-14 |
| 1528239373 | Paul J. Cooper Center for Human Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 235 Jerome St, Brooklyn, NY 11207-3209 | 2008-03-20 |
| 1730369760 | Human Care Services for Families and Children Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1575 50th St, Brooklyn, NY 11219-3746 | 2007-11-07 |
| 1790975563 | Block Institute, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3094 Brighton 5th St, Apt. A6, Brooklyn, NY 11235-7041 | 2007-07-27 |
| 1972702355 | Block Institute, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1531 67th St, Brooklyn, NY 11219-6302 | 2007-07-16 |
| 1942409339 | Block Institute, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2548 E 22nd St, Brooklyn, NY 11235-2504 | 2007-07-16 |
| 1003015694 | St. Vincent's Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 66 Boerum Pl, Brooklyn, NY 11201-5705 | 2007-07-13 |
| Find all providers in BROOKLYN | ||||
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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.