COOK CHILDRENS HOME HEALTH (NPI# 1801866173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801866173 |
| 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 | 2016-02-19 |
| Authorized Official Name | MICHAEL R SIMMONS (PRESIDENT, CCHH) |
| 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 |
|---|---|---|---|---|---|
| N | 335E00000X | Prosthetic/Orthotic Supplier | 101295 | TX | Suppliers |
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 4026020001 | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 140622501/CCP | 05 | |
| TX | 140622504/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 |
| 1336119619 | Cook Childrens Home Health | Home Health | 1101 W Vickery Blvd, Fort Worth, TX 76104-1025 | 2006-01-26 |
| 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 |
| Street Address |
1101 W VICKERY BLVD |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76104-1025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336119619 | Cook Childrens Home Health | Home Health | 1101 W Vickery Blvd, Fort Worth, TX 76104-1025 | 2006-01-26 |
| 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 |
| 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 | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083225452 | Aerocare Home Medical Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 901 W Leuda St Ste C, Fort Worth, TX 76104-3003 | 2020-08-11 |
| 1669082186 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 1115 8th St, Fort Worth, TX 76104 | 2020-08-10 |
| 1841814480 | Orthous Medical LLC | Durable Medical Equipment & Medical Supplies | 5049 Edwards Ranch Rd Fl 4, Fort Worth, TX 76109-4133 | 2020-05-29 |
| 1376164921 | Evan Larson | Durable Medical Equipment & Medical Supplies | 1100 Bridgewood Dr Ste 102, Fort Worth, TX 76112-0808 | 2020-05-05 |
| 1356971733 | Elite Hair Strands LLC | Durable Medical Equipment & Medical Supplies | 4609 Marks Iv Pkwy, Fort Worth, TX 76161 | 2020-01-24 |
| 1588209795 | Kamlesh Patel | Durable Medical Equipment & Medical Supplies | 801 E Debbie Lane Suite 101c, Fort Worth, TX 76118-7611 | 2019-11-12 |
| 1023653243 | Dl Durable Equipment LLC | Durable Medical Equipment & Medical Supplies | 801 E. Debbie Lane Suite 101c, Fort Worth, TX 76118-7611 | 2019-11-12 |
| 1851935092 | Above and Beyond Management Inc | Durable Medical Equipment & Medical Supplies | 9500 Ray White Rd # 100, Fort Worth, TX 76244-6000 | 2019-10-31 |
| 1922641463 | Kalos Health Services LLC | Durable Medical Equipment & Medical Supplies | 2222 Wenneca Ave, Fort Worth, TX 76102-4325 | 2019-10-28 |
| 1750924262 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1933 Heritage Trace Pkwy, Fort Worth, TX 76177-0000 | 2019-10-28 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76104 |
Please comment or provide details below to improve the information on COOK CHILDRENS HOME HEALTH.
| 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.