Organization Active NPI

Cooks Home Assistance Care, LLC

Doing business as Cook Home Assistance Care

  • In Home Supportive Care Agency
  • Merrillville, IN
National Provider Identifier
1083491948
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
COOKS HOME ASSISTANCE CARE, LLC
Doing business as
Cook Home Assistance Care
Practice address
8300 Broadway Ste F1
Merrillville, IN 46410-6269
Phone
(219) 777-0917
NPI assigned
Sep 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Courtney Devon Cooks
Title
Owner/Administrator
Phone
(219) 951-0887

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

8300 Broadway Ste F1
Merrillville, IN 46410-6269

Mailing address

8300 Broadway Ste F1
Merrillville, IN 46410-6269
Phone (219) 951-0887

Other names 1

  • Cook Home Assistance Care Doing business as

National Provider Directory

National Provider Directory

Locations

8300 Broadway
Ste F1
Merrillville, IN 46410
Phone (219) 736-1000

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1694563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694563200000",
    "number": "1083491948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 BROADWAY STE F1",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106269",
            "telephone_number": "219-951-0887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 BROADWAY STE F1",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106269",
            "telephone_number": "219-777-0917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOKS HOME ASSISTANCE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-13",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A",
        "authorized_official_last_name": "COOKS",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "DEVON",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "219-951-0887"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cook Home Assistance Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Merrillville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.