PAUL J COOPER CENTER FOR HUMAN SERVICES INC - IRA NPI 1790956548

NPI Information

  • NPI: 1790956548
  • Provider Name: PAUL J COOPER CENTER FOR HUMAN SERVICES, INC - IRA
  • Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
  • Entity Type: Organization
  • Address: 519 ROCKAWAY AVE
    BROOKLYN, NY
    ZIP 11212
  • Phone: (718) 498-5555

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NPI Details

PAUL J COOPER CENTER FOR HUMAN SERVICES, INC - IRA is a community based residential treatment facility, intellectual and/or developmental disabilities in Brooklyn, NY. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. PAUL J COOPER CENTER FOR HUMAN SERVICES, INC - IRA NPI is 1790956548. The provider is registered as an organization entity type.

The provider's business location address is:

519 ROCKAWAY AVE
BROOKLYN, NY
ZIP 11212-638
Phone: (718) 498-5555

The provider's authorized official is Cindy Ambrose .
The authorized official title is Billing Officer and has the following contact phone number (718) 498-5555.

The enumeration date for this NPI number is 3/20/2008 and was last updated on 3/20/2008.

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

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
102257385MEDICAIDNEW YORK

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: 3/30/2025

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