MEDICARE: TAMMY M COOPER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1083407308
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAMMY M COOPER

Provider Business Mailing Address
First Line	:	913 GLENDALE AVE
Second Line	:
City	:	SOUTH CHARLESTON
State	:	WV
Zip	:	25303-2520
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	913 GLENDALE AVE
Second Line	:
City	:	SOUTH CHARLESTON
State	:	WV
Zip	:	25303-2520
Country	:	US
Telephone Number	:	937-344-0404
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/28/2025
Last Update Date	:	05/28/2025

Similar Medicare Providers

1497721542 — MARIA L BECKER HSPP
Practice Location Address:

310 N IRONWOOD DR
SOUTH BEND, IN
46615-2520

Practice Phone: 574-287-6333
Practice Fax: 574-287-5651

1063422111 — DR. CODY SCOTT GOSLINGA D.M.D.
Practice Location Address:

2520 US ONE SOUTH
ST. AUGUSTINE, FL
32086

Practice Phone: 904-797-4833
Practice Fax: 904-797-7128

1235223769 — RICK DWIGGINS NP
Practice Location Address:

2520 SOUTH RANKIN
EDMOND, OK
73013

Practice Phone: 405-341-1433
Practice Fax:

1255425898 — TIMBERLANE MANOR, LLC
Practice Location Address:

2520 SOUTH RANKIN
EDMOND, OK
73013

Practice Phone: 405-341-1433
Practice Fax: 405-562-2128

1689721599 — JOSEPH A. COLAO, D.O.
Practice Location Address:

2520 KENNEDY BOULEVARD , GROUND FLOOR - SOUTH SIDE
JERSEY CITY, NJ
07304-2054

Practice Phone: 201-333-3088
Practice Fax: 201-333-7616

1780823369 — ANTONIA M. PERRY LMSW
Practice Location Address:

1048 BIRCHWAY CT
SOUTH LYON, MI
48178-2520

Practice Phone: 810-459-0390
Practice Fax:

Directions to “ TAMMY M COOPER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.