JACKQUELINE COOPER (NPI# 1851772560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851772560 |
| Entity Type | Individual |
| Full Name | JACKQUELINE COOPER |
| Practice Address |
2552 Poplar Ave 4b Memphis TN 38112-3852 |
| Practice Telephone | 9014092849 |
| Mailing Telephone | 9014092849 |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2015-06-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| Street Address |
2552 POPLAR AVE 4B |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38112-3852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144281551 | Supplies Etc | Durable Medical Equipment & Medical Supplies | 2552 Poplar Ave, Ste 503, Memphis, TN 38112 | 2006-03-28 |
| 1487128856 | Brenda Flores | Counselor | 2552 Poplar Ave, Memphis, TN 38112-3852 | 2019-01-17 |
| 1689050478 | Devoted Hand | In Home Supportive Care | 2552 Poplar Ave, 4b, Memphis, TN 38112-3852 | 2015-08-04 |
| 1760728604 | Rebecca L West | Psychologist | 2552 Poplar Ave, Suite 500, Memphis, TN 38112-3852 | 2012-12-21 |
| 1801026836 | Medical Supply Depot | Durable Medical Equipment & Medical Supplies | 2552 Poplar Ave, Suite 502, Memphis, TN 38112-3852 | 2009-07-24 |
| 1104039932 | Maria Cecilia Alcantara Cipriano | Physical Therapist | 2552 Poplar Ave, Suite 403, Memphis, TN 38112 | 2007-05-08 |
| 1568517803 | Emerald Imaging Inc | Contractor | 2552 Poplar Ave, Ste 406, Memphis, TN 38112-3852 | 2007-01-25 |
| 1275646564 | Rehad Med Physical Therapy and Wellness Services, P.C. | Specialist | 2552 Poplar Ave, Suite 403, Memphis, TN 38112-3852 | 2006-08-17 |
| 1750399721 | Harry Guinocor | Physical Therapist | 2552 Poplar Ave, Suite 403, Memphis, TN 38112-3852 | 2006-08-04 |
| 1831107804 | Roque F Estipona Jr. | Physical Therapist | 2552 Poplar Ave, Suite 403, Memphis, TN 38112-3852 | 2006-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316427602 | Chs Tennessee Medical P C | Clinic/Center | 2680 Pershing Ave, Memphis, TN 38112 | 2018-08-16 |
| 1457688798 | Ethan Martin Langston | Counselor | 2714 Union Extended, Suite 400, Memphis, TN 38112 | 2009-11-06 |
| 1033345756 | Marquita Lachelle Little | Counselor | 2714 Union Avenue Extension, Suite 400, Memphis, TN 38112 | 2009-06-09 |
| 1366689481 | Open Hand Trans | Non-emergency Medical Transport (VAN) | 2600 Poplar Avenue 325, Memphis, TN 38112 | 2009-01-12 |
| 1952562696 | Christ Community Health Services Inc | Clinic/Center | 2861 Broad Avenue, Christ Community Health Services,inc, Memphis, TN 38112 | 2008-06-24 |
| 1013117225 | Yolanda Anthony-west | Dentist | 1045 Mullins Station Road, Memphis, TN 38112 | 2007-07-25 |
| 1083754634 | Trillium Womancare LLC | Advanced Practice Midwife | 2610 Autumn Avenue, Memphis, TN 38112 | 2007-02-06 |
| 1013066596 | Health Tech Affiliates | Counselor | 2670 Union Extended, Suite 610, Memphis, TN 38112 | 2007-01-10 |
| 1730238320 | James Matthew Doyle | Counselor | 2670 Union Extd Suite 610, Concern Eap, Memphis, TN 38112 | 2007-01-10 |
| 1619025087 | Nancy Whitman Manire | Social Worker | 2670 Union Ext, Suite 610, Memphis, TN 38112 | 2007-01-08 |
| Find all providers in zip 38112 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922606706 | Trinette Jackson | In Home Supportive Care | 905 Woodlawn St, Memphis, TN 38107-2531 | 2020-10-13 |
| 1871103564 | Kv Quality Care | In Home Supportive Care | 109 Lynnfield St, Memphis, TN 38120-2305 | 2020-08-06 |
| 1801406749 | Home Care Management Nursing Agency LLC | In Home Supportive Care | 602 Harrell St, Memphis, TN 38112-2932 | 2020-08-05 |
| 1013526425 | Peeples Choice | In Home Supportive Care | 5263 Cherokee Rose Ln, Memphis, TN 38125-4119 | 2020-07-31 |
| 1427667641 | Alecia Alexander | In Home Supportive Care | 696 Inez St, Memphis, TN 38111-2223 | 2020-07-23 |
| 1548884281 | Peaceful Transitions In-home Care Services Inc | In Home Supportive Care | 4384 Stage Rd Ste 204, Memphis, TN 38128-5762 | 2020-05-28 |
| 1386265296 | Heart To Home Healthcare Services Inc | In Home Supportive Care | 3385 Airways Boulevard, Suite 233, Memphis, TN 38116 | 2020-05-01 |
| 1811516826 | Comforts of Life Home Care Inc | In Home Supportive Care | 4523 Millbranch Rd, Memphis, TN 38116-7437 | 2020-04-09 |
| 1548896715 | Annie M Griffin | In Home Supportive Care | 1014 Cullenwood Drive, Memphis, TN 38116 | 2020-03-19 |
| 1417583014 | The Connection Center | In Home Supportive Care | 1317 Jackson Ave, Memphis, TN 38107-4334 | 2020-03-16 |
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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.