COOPER LEGACY HOMES LLC NPI 1679413132

NPI Information

  • NPI: 1679413132
  • Provider Name: COOPER LEGACY HOMES LLC
  • Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
  • Entity Type: Organization
  • Address: 5243 BROADWAY AVE
    CLEVELAND, OH
    ZIP 44127
  • Phone: (216) 253-8502

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NPI Details

COOPER LEGACY HOMES LLC is a community based residential treatment facility, intellectual and/or developmental disabilities in Cleveland, OH. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. COOPER LEGACY HOMES LLC NPI is 1679413132. The provider is registered as an organization entity type.

The provider's business location address is:

5243 BROADWAY AVE
CLEVELAND, OH
ZIP 44127-504
Phone: (216) 253-8502

The provider's authorized official is Dashae C Cooper .
The authorized official title is Owner and has the following contact phone number (216) 253-8502.

The enumeration date for this NPI number is 4/1/2026 and was last updated on 4/1/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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