# COHAP CHILDREN, ADULT & SENIOR SERVICES, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** CCASS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528746831
- **Authorized official:** MR. BERACE BENNETT (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (314) 566-5154

## Contact information

- **Practice address:** 1611 WESTPORT COVE LN, SUITE B, SAINT LOUIS, MO 63146-6424
- **Practice address phone:** (314) 566-5154
- **Mailing address:** 1611 WESTPORT COVE LN APT B, SAINT LOUIS, MO 63146-6424
- **Mailing address phone:** (314) 566-5154

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251J00000X | Nursing Care Agency | — | NULL | — |

## Other

- **Enumeration date:** 07/06/2023
- **Last updated:** 07/18/2023