COOPER VILLAGE CORPORATION
NPI 1710476775
Community/Behavioral Health in Houston, TX

Active since May 05, 2018
3518 BLUE MEADOW LN, HOUSTON, TX 77039(281) 771-4200 Get Directions Write a Review

NPPES record last updated: May 5, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Cooper Village Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COOPER VILLAGE CORPORATION (NPI 1710476775) is a healthcare organization registered as a community/behavioral health in Houston, Texas and active in the NPI registry since May 2018. The organization lists Tyrena Lana Booker, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1710476775
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameCOOPER VILLAGE CORPORATION
Location Address3518 BLUE MEADOW LNHouston, TX 77039-5720
Mailing Address13202 Briar Forest Dr Apt 2124Houston, TX 77077-2444 · (281) 771-4200
Organization SubpartYesParent: 29a53005
Authorized OfficialTyrena Lana BookerExecutive Director · (281) 771-4200
Enumeration DateMay 5, 2018
NPI 1710476775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Also ListedCase ManagementTaxonomy 251B00000X
3518 BLUE MEADOW LN, Houston, TX 77039

Other Identifiers 1

Medicaid1356705024TX

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cooper Village Corporation's NPI number?

The NPI number for Cooper Village Corporation is 1710476775. It was assigned to this organization in the NPPES registry on May 5, 2018.

Where is Cooper Village Corporation located?

Cooper Village Corporation is located at 3518 Blue Meadow Ln, Houston, TX 77039. The listed phone number is (281) 771-4200.

What is Cooper Village Corporation's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Cooper Village Corporation was last updated on May 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.