Individual ProviderKhoury CooperSocial WorkerBehavioral Health & Social Service ProvidersPractice Address375 N Stephanie St Bldg 21, Henderson, NV 89014-8771(702) 799-9710PECOS EnrollmentBased on the most recent information from CMS, provider Khoury Cooper is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1265959746Provider TypeIndividualFull NameCooper, KhouryCredentialLCSWGenderMaleSole ProprietorNoEnumeration Date8/25/2017Last Updated12/12/2023Contact InformationPractice LocationPractice Address375 N Stephanie St Bldg 21, Henderson, NV 89014-8771Phone(702) 799-9710FaxUnlisted FaxMailing LocationMailing Address375 N Stephanie St Bldg 21, Henderson, NV 89014-8771Phone(702) 799-9710FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense10968-CNevadaCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer