COOK CHILDRENS HOME HEALTH (NPI# 1336119619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336119619 |
| Entity Type | Organization |
| Organization Name | COOK CHILDRENS HOME HEALTH |
| Practice Address |
1101 W Vickery Blvd Fort Worth TX 76104-1025 |
| Mailing Address |
Po Box 99283 Fort Worth TX 76199-1383 |
| Practice Telephone | 6828856294 |
| Practice Fax Number | 6828851135 |
| Mailing Telephone | 6828856294 |
| Mailing Fax Number | 6828851135 |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2016-01-28 |
| NPI Deactivation Date | 02/26/2007 |
| NPI Reactivation Date | 2008-11-26 |
| Authorized Official Name | MICHAEL R SIMMONS (PRESIDENT) |
| Authorized Official Telephone | 6828852409 |
| Is Organization Subpart | Y |
| Parent Organization Name | COOK CHILDRENS HOME HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 007555 | TX | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 024794201 | 05 | |
| TX | 024794203/CSN | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417494659 | Cook Childrens Home Health | Durable Medical Equipment & Medical Supplies | 11911 Starcrest Drive, San Antonio, TX 78247 | 2017-01-26 |
| 1265858591 | Cook Childrens Home Health | Durable Medical Equipment & Medical Supplies | 2225 W Braker Ln, Building 11, Austin, TX 78758-4031 | 2014-03-11 |
| 1720375546 | Cook Childrens Home Health | Prosthetic/Orthotic Supplier | 13 Prestige Cir Ste 180, Allen, TX 75002-3419 | 2011-06-30 |
| 1770842551 | Cook Childrens Home Health | Prosthetist | 1719 8th Ave, Fort Worth, TX 76110-1349 | 2012-05-14 |
| 1952371239 | Cook Childrens Home Health | Home Infusion | 1101 W Vickery Blvd, Fort Worth, TX 76104-1025 | 2006-01-26 |
| 1801866173 | Cook Childrens Home Health | Prosthetic/Orthotic Supplier | 1101 W Vickery Blvd, Fort Worth, TX 76104-1025 | 2006-01-26 |
| Street Address |
1101 W VICKERY BLVD |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76104-1025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962001925 | Wendy Mathews | Pharmacist | 1101 W Vickery Blvd, Fort Worth, TX 76104-1025 | 2020-10-21 |
| 1851998140 | Donna Gayle Keeble | Speech-Language Pathologist | 1101 W Vickery Blvd, Fort Worth, TX 76104-1025 | 2020-10-08 |
| 1932711264 | Briyet Sigala | Rehabilitation Counselor | 1101 W Vickery Blvd, Fort Worth, TX 76104-1025 | 2020-08-18 |
| 1972126308 | Lydia Paraskevas | Registered Nurse | 1101 W Vickery Blvd, Fort Worth, TX 76104-1025 | 2020-05-20 |
| 1407487903 | Natasha Mbenza | Occupational Therapist | 1101 W Vickery Blvd, Fort Worth, TX 76104-1025 | 2020-02-03 |
| 1841841871 | Alicia Delano | Registered Nurse | 1101 W Vickery Blvd, Fort Worth, TX 76104-1025 | 2019-09-20 |
| 1124678743 | Kristin Allen | Occupational Therapist | 1101 W Vickery Blvd, Fort Worth, TX 76104-1025 | 2019-09-16 |
| 1154894632 | Nora Elia Lopez | Licensed Vocational Nurse | 1101 W Vickery Blvd, Fort Worth, TX 76104-1025 | 2019-01-07 |
| 1063988210 | Marie Mahealani Macdonald | Physical Therapist | 1101 W Vickery Blvd, Fort Worth, TX 76104-1025 | 2018-10-15 |
| 1144704727 | Kristi Melven | Registered Nurse | 1101 W Vickery Blvd, Fort Worth, TX 76104-1025 | 2018-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669082186 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 1115 8th St, Fort Worth, TX 76104 | 2020-08-10 |
| 1992343693 | Iris Giove | Psychologist | John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 | 2019-12-13 |
| 1104480656 | Swarnalaxmi Umapathy | Student in an Organized Health Care Education/Training Program | 900 8th Avenue, Fort Worth, TX 76104 | 2019-04-30 |
| 1881189132 | Mega Surgical Assistants LLC | Specialist/Technologist, Other | 1301pennsylvania, Fort Worth, TX 76104 | 2018-06-28 |
| 1356848899 | Tricia Kelly | Nurse Practitioner | 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 | 2018-04-11 |
| 1952820979 | Modern Vein Clinic | Internal Medicine | 757 8th Avenue, Suite A, Forth Worth, TX 76104 | 2017-09-11 |
| 1790207165 | Vanessa Abbood | Dietitian, Registered | 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 | 2017-07-07 |
| 1922537562 | Nicole Marie Tod | Student in an Organized Health Care Education/Training Program | 1500 S Main Street, Fort Worth, TX 76104 | 2017-06-07 |
| 1770025934 | Micah Bonola | Chiropractor | 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 | 2016-11-04 |
| 1518315894 | United Bioscience, LLC. | Clinical Medical Laboratory | 901 W. Leuda St., B, Fort Worth, TX 76104 | 2016-05-27 |
| Find all providers in zip 76104 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174124283 | Natasha Monique Miller | Home Health | 2503 Via Venicia Apt 3223, Fort Worth, TX 76109-6535 | 2020-11-04 |
| 1982204327 | Kevin D Miller | Home Health | 4429 Sahara Pl, Fort Worth, TX 76115-3653 | 2020-10-26 |
| 1134740426 | Angels Over Texas | Home Health | 7749 Parkwood Plaza Dr, Fort Worth, TX 76137-4383 | 2020-04-28 |
| 1255967303 | Rejoice Wonderful Inc | Home Health | 3752 Waldorf St, Fort Worth, TX 76119-2300 | 2020-03-20 |
| 1033764899 | Helping Hands Restore LLC | Home Health | 3228 Kathy Ln, Fort Worth, TX 76123-2047 | 2019-08-07 |
| 1811458979 | S H Solutions | Home Health | 404 S Oakland Blvd, Fort Worth, TX 76103-3750 | 2019-03-29 |
| 1114487568 | Texans Home Health Care Services LLC | Home Health | 9500 Ray White Rd Ste 210, Fort Worth, TX 76244-6000 | 2019-03-21 |
| 1578055000 | A Unique Heart & Hands | Home Health | 953 E 2nd St, Fort Worth, TX 76102-3234 | 2018-05-31 |
| 1417446873 | Superb Health Care Inc | Home Health | 4121 River Birch Rd, Fort Worth, TX 76137-1187 | 2018-05-01 |
| 1508374216 | Alice Brinkley | Home Health | 7231 Park West Cir Apt 205, Fort Worth, TX 76134-3551 | 2018-01-16 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76104 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.