COOPER CREEK FACILITY LLC (NPI# 1366939647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366939647 |
| Entity Type | Organization |
| Organization Name | COOPER CREEK FACILITY LLC |
| Other Organization Name | COOPER CREEK CARE CENTER |
| Practice Address |
5381 Desoto Road Sarasota FL 34235 |
| Mailing Address |
400 Rella Blvd Ste 200 Montebello NY 10901-4239 |
| Practice Telephone | 9413556111 |
| Mailing Telephone | 8454906060 |
| Enumeration Date | 2018-04-22 |
| Last Update Date | 2018-04-22 |
| Authorized Official Name | MR. MICHAEL BLEICH (AUTHORIZED REPRESENTATIVE) |
| Authorized Official Telephone | 8456418314 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | FL | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Cooper Creek Care Center | Doing Business As Name - Organization |
| Street Address |
5381 DESOTO ROAD |
| City | SARASOTA |
| State | FL |
| Zip Code | 34235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043714082 | Rosemary Gribbin | Developmental Therapist | Gulf Central Early Steps, 4630 17th Street, Sarasota, FL 34235 | 2018-03-23 |
| 1467979864 | Amber Parry | Social Worker | 4630 17th St., Sarasota, FL 34235 | 2017-08-25 |
| 1528598307 | Milena Aleman | Occupational Therapy Assistant | 4029 Felipi Lane, Sarasota, FL 34235 | 2017-06-14 |
| 1194259614 | Rosemarie Tabangay Hartman | Occupational Therapy Assistant | 5381 De Soto Rd, Sarasota, FL 34235 | 2017-04-12 |
| 1790957710 | Cathy Keskin | Occupational Therapy Assistant | 5201 Desota Rd., Sarasota, FL 34235 | 2008-03-31 |
| 1215107487 | Rebekah A.s. Nouri | Social Worker | 4630 17th Street, Sarasota, FL 34235 | 2008-03-04 |
| 1578642880 | Davinder Singh Bhamber | Internal Medicine | 5250 17th St, Suite 7, Sarasota, FL 34235 | 2006-11-06 |
| 1548352230 | Cathy Lynne Matthews | Midwife, Lay | 4944 Midnight Lane, Sarasota, FL 34235 | 2006-09-29 |
| 1831122050 | Dawn Affeldt | Counselor | 3300 17th Street, Sarasota, FL 34235 | 2006-07-09 |
| 1417902560 | Monica E Honimar | Physical Therapist | 463017th Street, Sarasota, FL 34235 | 2006-05-24 |
| Find all providers in zip 34235 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336674928 | Baby Lyn Domingo | Skilled Nursing Facility | 4498 Mcintosh Park Dr Apt 1906, Sarasota, FL 34232-6526 | 2017-04-20 |
| 1831445121 | Charlotte Mollohan | Skilled Nursing Facility | 3433 Cheshire Ln, Apt D, Sarasota, FL 34237-3910 | 2012-07-24 |
| 1912277377 | T | Skilled Nursing Facility | 2600 Courtland St, Sarasota, FL 34237-7633 | 2012-01-03 |
| 1235153982 | 4602 Northgate Court LLC | Skilled Nursing Facility | 4602 Northgate Ct, Sarasota, FL 34234-2125 | 2006-07-26 |
| 1356367700 | Life Care Centers of America, Inc. | Skilled Nursing Facility | 8104 Tuttle Ave, Sarasota, FL 34243-2885 | 2006-07-15 |
| 1962442459 | Tandem Health Care of Sarasota, Inc. | Skilled Nursing Facility | 4783 Fruitville Rd, Sarasota, FL 34232-1815 | 2006-06-07 |
| 1255388443 | Kensington Manor - Sarasota Fl LLC | Skilled Nursing Facility | 3250 12th St, Sarasota, FL 34237-3204 | 2006-05-31 |
| 1568419034 | Manor Care Nursing Center of Sarasota Fl LLC | Skilled Nursing Facility | 5511 Swift Rd, Sarasota, FL 34231-6209 | 2006-05-28 |
| 1750337226 | Emerald Oakes Health Care Associates LLC | Skilled Nursing Facility | 1507 S Tuttle Ave, Sarasota, FL 34239-2608 | 2006-05-26 |
| 1306891098 | Beneva Lakes Health Care Associates LLC | Skilled Nursing Facility | 741 S Beneva Rd, Sarasota, FL 34232-2411 | 2006-05-23 |
| Find all providers in SARASOTA | ||||
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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.