Organization
COOPERS HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE COOPER (OWNER)
(706) 836-0979
Entity
Organization
Contact information
Practice address
2416 WINDSOR SPRING RD STE 8-B, AUGUSTA, GA 30906-4666
(706) 836-0979
Mailing address
4825 JASMINE WAY, HEPHZIBAH, GA 30815-5874
(706) 836-0979
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
311ZA0620X
Adult Care Home Facility
—
—
3140N1450X
Pediatric Skilled Nursing Facility
—
—
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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