COOPER VILLAGE (NPI# 1487723649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487723649 |
| Entity Type | Organization |
| Organization Name | COOPER VILLAGE |
| Practice Address |
8502 Mormon Bridge Rd Omaha NE 68152-2150 |
| Mailing Address |
8502 Mormon Bridge Rd Po Box 12150 Omaha NE 68152-2150 |
| Practice Telephone | 4024571398 |
| Practice Fax Number | 4024571405 |
| Mailing Telephone | 4024571398 |
| Mailing Fax Number | 4024571405 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. SONJA SUE MCKAY (BILLING COORDINATOR) |
| Authorized Official Telephone | 4024571398 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | MHC016 | NE | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326124397 | Cooper Village | Psychiatric Residential Treatment Facility | 8502 Mormon Bridge Rd, Omaha, NE 68152-2150 | 2006-10-31 |
| 1578632733 | Cooper Village | Psychiatric Residential Treatment Facility | 8502 Mormon Bridge Rd, Omaha, NE 68152-2150 | 2006-11-06 |
| 1972681757 | Cooper Village | Nursing Care | 8502 Mormon Bridge Rd, Omaha, NE 68152-2150 | 2006-11-01 |
| Street Address |
8502 MORMON BRIDGE RD |
| City | OMAHA |
| State | NE |
| Zip Code | 68152-2150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326124397 | Cooper Village | Psychiatric Residential Treatment Facility | 8502 Mormon Bridge Rd, Omaha, NE 68152-2150 | 2006-10-31 |
| 1649887829 | Taylor Sue Williams | Counselor | 8502 Mormon Bridge Rd, Omaha, NE 68152-1929 | 2020-09-30 |
| 1144834144 | Corinne Jae Miller | Registered Nurse | 8502 Mormon Bridge Rd, Omaha, NE 68152-1929 | 2020-09-07 |
| 1619581790 | Crystal Sanchez | Registered Nurse | 8502 Mormon Bridge Rd, Omaha, NE 68152-1929 | 2020-09-04 |
| 1700490059 | Larissa M. Jackson | Counselor | 8502 Mormon Bridge Rd, Omaha, NE 68152-1929 | 2020-09-03 |
| 1801414768 | Amanda Fouts | Counselor | 8502 Mormon Bridge Rd, Omaha, NE 68152-1929 | 2020-07-08 |
| 1245854710 | Jessica Bruce | Counselor | 8502 Mormon Bridge Rd, Omaha, NE 68152-1929 | 2020-06-01 |
| 1811461254 | Taylar E Mason | Counselor | 8502 Mormon Bridge Rd, Omaha, NE 68152-1929 | 2019-01-18 |
| 1992276752 | Melina Amanda Hickey | Counselor | 8502 Mormon Bridge Rd, Omaha, NE 68152-1929 | 2018-12-05 |
| 1891272514 | Chantel Bruha | Counselor | 8502 Mormon Bridge Rd, Omaha, NE 68152-1929 | 2018-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811392889 | Molly Motsinger | Physical Therapy Assistant | 6020 Country Club Oaks Place, Omaha, NE 68152 | 2014-11-03 |
| 1043625023 | Joseph Kent | Psychiatry & Neurology | 7101 Newport Ave Dept Of, Omaha, NE 68152 | 2014-06-27 |
| 1043588924 | Generation Hope Family Counseling & Consulting | Counselor | 6677 Sorensen Parkway, Omaha, NE 68152 | 2011-12-07 |
| 1144534736 | Stefany Bowden | Speech-Language Pathologist | 12849 Calhoun Rd, Omaha, NE 68152-1117 | 2010-08-05 |
| 1255783742 | Horseplay Acres Therapy Services | Speech-Language Pathologist | 12849 Calhoun Rd, Omaha, NE 68152-1117 | 2016-07-07 |
| 1588006993 | Jessica M Vandercoy | Counselor | 5605 Northern Hills Dr, Omaha, NE 68152-1192 | 2013-07-26 |
| 1699947853 | Erika Lee | Physical Therapist | 6533 Country Squire Ln, Omaha, NE 68152-1411 | 2008-03-27 |
| 1336365311 | Kelly S. Schroeder | Emergency Medicine | 10985 N 60th St, Omaha, NE 68152-1459 | 2007-04-18 |
| 1477875649 | James Bane | General Practice | 11106 N 61st St, Omaha, NE 68152-1470 | 2010-02-15 |
| 1437640760 | Tonya M Goodwin-daly | Counselor | 9910 N 48th St Ste 111, Omaha, NE 68152-1548 | 2018-05-22 |
| Find all providers in zip 68152 | ||||
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992964100 | Alegent Health Immanuel Medical Center | Psychiatric Residential Treatment Facility | 6845 N 68th Plaza, Omaha, NE 68122 | 2008-06-03 |
| 1326124397 | Cooper Village | Psychiatric Residential Treatment Facility | 8502 Mormon Bridge Rd, Omaha, NE 68152-2150 | 2006-10-31 |
| 1457437717 | Uta Halee Girls Village | Psychiatric Residential Treatment Facility | 10625 Calhoun Rd, Omaha, NE 68112-2034 | 2006-10-30 |
| 1922468230 | Omaha Vamc | Psychiatric Residential Treatment Facility | 4101 Woolworth Ave, Omaha, NE 68105-1850 | 2016-02-29 |
| 1194037424 | Telecare Corporation | Psychiatric Residential Treatment Facility | 819 Dorcas St, Omaha, NE 68108-1137 | 2010-07-01 |
| 1962581207 | Uta Halee Girls Village | Psychiatric Residential Treatment Facility | 10625 Calhoun Rd, Omaha, NE 68112-2034 | 2006-11-06 |
| 1578632733 | Cooper Village | Psychiatric Residential Treatment Facility | 8502 Mormon Bridge Rd, Omaha, NE 68152-2150 | 2006-11-06 |
| 1710064969 | Uta Halee Girls Village | Psychiatric Residential Treatment Facility | 10625 Calhoun Rd, Omaha, NE 68112-2034 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942413091 | I Believe In Me Ranch | Psychiatric Residential Treatment Facility | 21252 Antelope Rd, Pleasanton, NE 68866-3023 | 2007-05-07 |
| 1578603833 | Hopespoke | Psychiatric Residential Treatment Facility | 904 Sumner, Lincoln, NE 68502 | 2007-02-07 |
| 1659392454 | Winnebago Indian Health Service | Psychiatric Residential Treatment Facility | Hwy 77/75, Winnebago, NE 68071 | 2006-07-21 |
| 1962427781 | Epworth Village, Inc. | Psychiatric Residential Treatment Facility | 2119 N Division Ave, York, NE 68467-1009 | 2006-07-13 |
| 1942240122 | State of Nebraska Dept of Admin Services | Psychiatric Residential Treatment Facility | West Prospector Place & Folsom Street, Lincoln, NE 68509-4949 | 2006-06-07 |
| 1891338661 | Mission Field LLC | Psychiatric Residential Treatment Facility | 1104 3rd Ave, Nebraska City, NE 68410-2011 | 2019-10-23 |
| 1528310133 | Epworth Village | Psychiatric Residential Treatment Facility | 2119 N Division Ave, York, NE 68467-1009 | 2012-10-05 |
| 1568531879 | Alegent Health | Psychiatric Residential Treatment Facility | 11111 S 84th St, Papillion, NE 68046-4122 | 2006-11-08 |
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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.