COOK CHILDRENS HOME HEALTH (NPI# 1952371239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952371239 |
| 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 | 6828852499 |
| Mailing Telephone | 6828856294 |
| Mailing Fax Number | 6828851135 |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2020-10-14 |
| NPI Deactivation Date | 02/26/2007 |
| NPI Reactivation Date | 2008-12-01 |
| Authorized Official Name | MICHAEL R SIMMONS (PRESIDENT) |
| Authorized Official Telephone | 6828852409 |
| Is Organization Subpart | Y |
| Parent Organization Name | COOK CHILDREN'S HOME HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251F00000X | Home Infusion | Agencies | ||
| Y | 333600000X | Pharmacy | 20616 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 079033901/RX | 05 | |
| TX | 068793101/CCP | 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 |
| 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 |
|---|---|---|---|---|
| 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 | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528672342 | Still Living LLC | Pharmacy | 5344a N Tarrant Pkwy, Fort Worth, TX 76244-6293 | 2020-08-31 |
| 1134618648 | A-class Park Place Pharmacy LLC | Pharmacy | 1001 12th Ave Ste 156, Fort Worth, TX 76104-3929 | 2018-05-09 |
| 1053818344 | Texas Digestive Disease Consultants Pllc | Pharmacy | 6317 Harris Pkwy Ste 320, Fort Worth, TX 76132-4256 | 2018-04-12 |
| 1659881423 | University of Texas Southwestern Medical Center At Dallas | Pharmacy | 600 S Main St Ste 1.102, Fort Worth, TX 76104-2410 | 2017-10-06 |
| 1467996314 | Westlake Health & Beauty Products | Pharmacy | 5421 Basswood Blvd Ste 700, Fort Worth, TX 76137-4483 | 2016-12-12 |
| 1033663521 | Oncology Pharmacy Services Inc. | Pharmacy | Texas Oncology Pharmacy - Sw Fort Worth, 6500 Harris Parkway Suite #100, Fort Worth, TX 76132 | 2016-08-12 |
| 1992169395 | University of Texas Southwestern Medical Center At Dallas | Pharmacy | 400 W Magnolia Ave Ste 2500, Fort Worth, TX 76104-7617 | 2016-04-12 |
| 1487036687 | Sechanz Enterprises Inc | Pharmacy | 6306 Meadowbrook Dr, Fort Worth, TX 76112-5121 | 2015-06-24 |
| 1174862718 | The Main Pharmacy | Pharmacy | 1226 S Main St, Fort Worth, TX 76104-4803 | 2013-02-01 |
| 1942546395 | Aids Healthcare Foundation | Pharmacy | 400 N Beach St Ste 102, Fort Worth, TX 76111-7070 | 2012-12-12 |
| 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.