Crystal L Cook

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

16840 Woodbine St
Detroit, MI 48219-3742

Phone

(313) 728-7749

NPI assigned

Jan 30, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Purple Wings Home Care, LLC

  • Home Health Agency
  • Detroit, MI
  • NPI 1952177156

  Home Health Aide

  NPD Authorized official

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

{
    "created_epoch": "1706572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1275395683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16840 WOODBINE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482193742",
            "telephone_number": "313-728-7749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16840 WOODBINE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482193742",
            "telephone_number": "313-728-7749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "CRYSTAL",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-30",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William A. Conway, M.D.
• Aaron Alexander Cook, DO
• Anthony Vincent Cook, DO
• Asia Michelle Cook
• Belinda Diane Cook, RN
• Dorrinda E Cook, RN
• Glenda Cook
• Jessica Cook
• Jordan Marie Cook
• Kamelle Cook

• Home Health Aide in Detroit, MI
• Providers in Detroit, MI by specialty
• Home Health Aide in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; 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.