MEDICARE: COPE FAMILY CENTER

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	252Y00000X	Early Intervention Provider Agency

General Provider Information

NPI Number	:	1790620250
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COPE FAMILY CENTER

Provider Business Mailing Address
First Line	:	707 RANDOLPH ST
Second Line	:
City	:	NAPA
State	:	CA
Zip	:	94559-2912
Country	:	US
Telephone Number	:	707-479-1734
Fax Number	:

Provider Business Practice Location Address
First Line	:	707 RANDOLPH ST
Second Line	:
City	:	NAPA
State	:	CA
Zip	:	94559-2912
Country	:	US
Telephone Number	:	707-479-1734
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	JENNIFER SUE OLSEN
Credential	:
Telephone Number	:	707-479-1734

Provider Enumeration Date	:	04/21/2026
Last Update Date	:	04/21/2026

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Directions to “COPE FAMILY CENTER ” Practice Location

Language	Start Address	Practice Location

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