G B COOLEY HOSPITAL FOR RETARDED (NPI# 1154876837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154876837 |
| Entity Type | Organization |
| Organization Name | G B COOLEY HOSPITAL FOR RETARDED |
| Other Organization Name | G B COOLEY HOSPITAL SERVICES |
| Practice Address |
211 N 3rd St Monroe LA 71201-6731 |
| Practice Telephone | 3183976679 |
| Practice Fax Number | 3183979271 |
| Mailing Telephone | 3183976679 |
| Mailing Fax Number | 3183979271 |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2016-08-23 |
| Authorized Official Name | MR. JIMMY SANDERLIN (CFO) |
| Authorized Official Telephone | 3183976679 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities | ||
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| G B Cooley Hospital Services | Doing Business As Name - Organization |
| Street Address |
211 N 3RD ST |
| City | MONROE |
| State | LA |
| Zip Code | 71201-6731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174092621 | G B Cooley Row | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 211 N 3rd St, Monroe, LA 71201-6731 | 2018-11-14 |
| 1417367897 | Holly Kebodeaux Moore | Speech-Language Pathologist | 211 N 3rd St, Suite 1, Monroe, LA 71201-6731 | 2014-05-06 |
| 1427307453 | Rebecca Sidders Pickering | Speech-Language Pathologist | 211 N 3rd St, Suite A, Monroe, LA 71201-6731 | 2012-09-06 |
| 1417280959 | Physical Therapy Incorporated of Monroe (pt Inc) Inc | Durable Medical Equipment & Medical Supplies | 211 N 3rd St, Monroe, LA 71201-6731 | 2009-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043831035 | Tammy Price | Social Worker | 414 Pine Street, Monroe, LA 71201 | 2020-04-30 |
| 1932749116 | Emmanuel Brown Jr. | Case Manager/Care Coordinator | 2808 Evangeline Street, Monroe, LA 71201 | 2020-01-15 |
| 1063050961 | James J Gregory | Social Worker | 4800 S Grand, Monroe, LA 71201 | 2019-12-11 |
| 1285271221 | William Fairley | Non-emergency Medical Transport (VAN) | 1002 N. 7th St., Apt. 4, Monroe, LA 71201 | 2019-12-10 |
| 1619431715 | Guidance Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 1204 Stubbs Ave. Suite B, Monroe, LA 71201 | 2019-01-23 |
| 1184193286 | Marnesha Davis | Assistant Behavior Analyst | 500 N. 21st Street, Monroe, LA 71201 | 2018-11-19 |
| 1912476482 | Gbc Hope | Residential Treatment Facility, Emotionally Disturbed Children | 311 South 1st Street, Monroe, LA 71201 | 2018-11-14 |
| 1124502505 | Orthopaedic Clinic of Monroe | Non-Pharmacy Dispensing Site | 1501 Louisville Ave., Monroe, LA 71201 | 2018-09-20 |
| 1699266643 | Melissa Anne De La O | Audiologist | 2516 Broadmoor Blvd # 1b, Monroe, LA 71201 | 2018-05-25 |
| 1588153738 | Essential Family Medicine, LLC | Nurse Practitioner | 2014 Tower Dr. Ste A, Monroe, LA 71201 | 2018-05-03 |
| Find all providers in zip 71201 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043257421 | Bd Monroe I LLC | Nursing Facility/Intermediate Care Facility | 1355 W Main St, Monroe, WA 98272-2022 | 2006-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669929212 | Tender Care Adult Day Care | Nursing Facility/Intermediate Care Facility | 1501 Maura Pl, New Orleans, LA 70131-7912 | 2016-09-01 |
| 1780098798 | Royal Nursing Services, Inc | Nursing Facility/Intermediate Care Facility | 3510 Sugar Mill Rd, New Iberia, LA 70563-8621 | 2014-06-17 |
| 1376806430 | Youree Associates Inc. | Nursing Facility/Intermediate Care Facility | 5506 Camelot Dr, Shreveport, LA 71107-9558 | 2012-06-22 |
| 1538438015 | Tass Brain Injury Rehabilitation Center | Nursing Facility/Intermediate Care Facility | 42215 Pleasant Rg Ext, Ponchatoula, LA 70454-4723 | 2011-12-29 |
| 1497988380 | Opelousas Healthcare Properties LLC | Nursing Facility/Intermediate Care Facility | 7941 I-49 S Service Rd, Opelousas, LA 70570-9003 | 2009-08-26 |
| 1144463407 | Northridge Care Center LLC | Nursing Facility/Intermediate Care Facility | 3612 Baker Blvd, Baker, LA 70714-2513 | 2009-04-15 |
| 1457559023 | Paradise Adhc | Nursing Facility/Intermediate Care Facility | 2121 Dulles Rd, Lafayette, LA 70506 | 2007-07-05 |
| 1114123510 | Colette's Nursing & Healthcare | Nursing Facility/Intermediate Care Facility | 2100 3rd St, Suite#9, Kenner, LA 70062-7600 | 2007-06-22 |
| 1639383367 | Active Adult Day Healthcare LLC | Nursing Facility/Intermediate Care Facility | 333 E Prudhomme St, Opelousas, LA 70570-6490 | 2007-05-10 |
| 1437378908 | Louisiana Special Education Center | Nursing Facility/Intermediate Care Facility | 100 Pecan Loop, Alexandria, LA 71303-3753 | 2007-04-24 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on G B COOLEY HOSPITAL FOR RETARDED.
| 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.