Michael Cook
Individual provider Active NPI Home Health Aide · Nitro, WV
NPI 1104617398 · NPPES record last updated May 15, 2025
Key facts
- NPI
- 1104617398
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- Practice address
- 809 Dupont Ave
Nitro, WV 25143-2113 - Phone
- (304) 382-4778
- NPI assigned
- May 15, 2025
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Yes |
Addresses
Primary practice location
809 Dupont Ave
Nitro, WV 25143-2113
Mailing address
809 Dupont Ave
Nitro, WV 25143-2113
Other providers in Nitro, WV
- David P Chandler
- Dustin Chaney
- Melissa Clay
- Sandra Leigh Clifford
- Comprehensive Occ Med Physicals Acad&Surveillancesolutionsllc
- Steven Cook
- Thelma Jane Cooper
- Angel Cunningham
- Tina Michelle Dailey
- Damous Center
All providers in Nitro, WV · Home Health Aide in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.