Organization · Type 2 NPI

Cooper Legacy Homes LLC

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Cleveland, OH

NPI number 1679413132 Active

Practice location

5243 Broadway Ave
Cleveland, OH 44127-1504

Call (216) 253-8502 Map

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XNone listed

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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About NPI 1679413132

Cooper Legacy Homes LLC's National Provider Identifier is 1679413132, issued on Apr 1, 2026. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Cleveland, OH. The record was last updated on Apr 1, 2026.