NPIMap

Organization Active NPI

Cook Childrens Home Health

Doing business as Cook Children's Home Health - San Antonio

  • Durable Medical Equipment & Medical Supplies
  • San Antonio, TX
National Provider Identifier
1417494659
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
COOK CHILDRENS HOME HEALTH
Doing business as
Cook Children's Home Health - San Antonio
Practice address
11911 Starcrest Drive
San Antonio, TX 78247
Phone
(682) 885-6294
Fax
(682) 885-2499
NPI assigned
Jan 26, 2017
Last updated
Feb 7, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
COOK CHILDREN'S HOME HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Authorized official

Name
Michael R Simmons
Title
President
Phone
(682) 303-2409

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

11911 Starcrest Drive
San Antonio, TX 78247

Mailing address

PO Box 99283
Fort Worth, TX 76199-1383
Phone (682) 885-6294

Other names 1

  • Cook Children's Home Health - San Antonio Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cookchildrens@CookChildrens.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170920000857 TX DME Supplier - Medical Supply CompanyDME Supplier - Oxygen & Equipment 0244360600 Practice locations: San Antonio, TX

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Cook Children's Home Health11911 Starcrest Dr, San Antonio, TX 78247-4111(210) 404-9420 Automatic Ext Defibrillator (AEDS) and/or Supplies|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Gastric Suction Pumps|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Ultraviolet Light Devices and/or Supplies|Canes and/or Crutches|Patient Lifts… Does not accept assignmentParticipating since Jan 1, 2001

National Provider Directory

National Provider Directory
Tax ID family
Cook Children's Home Health6 organizations share this tax ID, including this one
Part of
Cook Children's Home Health

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1485388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707264000000",
    "number": "1417494659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 99283",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761991383",
            "telephone_number": "682-885-6294",
            "fax_number": "682-885-5606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11911 STARCREST DRIVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78247",
            "telephone_number": "682-885-6294",
            "fax_number": "682-885-2499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOK CHILDRENS HOME HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COOK CHILDREN'S HOME HEALTH",
        "enumeration_date": "2017-01-26",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "682-303-2409"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cookchildrens@CookChildrens.direct-ci.com",
            "affiliation": "N",
            "address_1": "11911 STARCREST DRIVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "country_code": "US",
            "postal_code": "78247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Cook Children's Home Health - San Antonio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.