Cook Childrens Home Health

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

COOK CHILDRENS HOME HEALTH

Practice address

1101 W Vickery Blvd
Fort Worth, TX 76104-1025

Phone

(682) 885-6294

Fax

(682) 885-2499

NPI assigned

Jan 26, 2006

Organization subpart

Yes

Parent organization

COOK CHILDREN'S HOME HEALTHAs reported in NPPES

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

Authorized official

Name

Michael R Simmons

Title

President, CCHH

Phone

(682) 885-2409

Specialties & licenses 4

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs with the same Medicare PAC ID 5

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

• Cook Childrens Home Health

  dba Cook Children's Home Health - Austin

  • Durable Medical Equipment & Medical Supplies
  • Austin, TX
  • NPI 1265858591

  0244360600

  Same PAC ID
• Cook Childrens Home Health

  • Home Health Agency
  • Fort Worth, TX
  • NPI 1336119619

  0244360600

  Same PAC ID
• Cook Childrens Home Health

  dba Cook Children's Home Health - San Antonio

  • Durable Medical Equipment & Medical Supplies
  • San Antonio, TX
  • NPI 1417494659

  0244360600

  Same PAC ID
• Cook Childrens Home Health

  • Durable Medical Equipment & Medical Supplies
  • Houston, TX
  • NPI 1497498356

  0244360600

  Same PAC ID
• Cook Childrens Home Health

  dba Cook Children's Home Health - Allen

  • Durable Medical Equipment & Medical Supplies
  • Allen, TX
  • NPI 1720375546

  0244360600

  Same PAC ID

Part of

Cook Childrens Home Health

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alex Kenneth Gottleaber, ATP

  • Other Technician
  • Fort Worth, TX
  • NPI 1003581455
  NPD (past)

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722902400000",
    "number": "1801866173",
    "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": "1101 W VICKERY BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761041025",
            "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": "2006-01-26",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT, CCHH",
        "authorized_official_telephone_number": "682-885-2409"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": "4026020001",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cookchildrens@CookChildrens.direct-ci.com",
            "affiliation": "N",
            "address_1": "1101 W Vickery Blvd",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761041025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cook Children's Physician Network (Cook Children's Developmental Pediatrics)
• Cook Children's Physician Network
• Cook Children's Physician Network
• Cook Childrens Home Health
• Cook Childrens Home Health (Orthotic Prosthetic Phy Group)
• Cook Childrens Home Health
• Cook Childrens Physician Network (Cook Children's Dental)
• Anna Christine Ginn Cook, DPT
• Chastity Cook
• Claudette Cook, RN, MSN, AGACNP-BC

• Durable Medical Equipment & Medical Supplies in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.