Cook Community Health Agency Inc

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

COOK COMMUNITY HEALTH AGENCY INC

Practice address

528 N Dixie Hwy
Hollywood, FL 33020-4404

Phone

(954) 461-4611

NPI assigned

Jan 8, 2024

Organization subpart

No

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

Authorized official

Name

Glenn Mark Carter II II

Title

Ceo

Phone

(954) 461-4611

Specialties & licenses 1

Addresses

Other names 1

• Cook Community Health Agency INC Other name

Locations

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

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704672000000",
    "number": "1891565149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 N DIXIE HWY",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330204404",
            "telephone_number": "954-461-4611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 N DIXIE HWY",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330204404",
            "telephone_number": "954-461-4611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOK COMMUNITY HEALTH AGENCY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-08",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A",
        "authorized_official_last_name": "CARTER II",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-461-4611",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cook Community Health Agency INC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Yusney Contrera Fernandez
• Yamel Contrera Garcia
• Angelica Marie Contreras
• Control Behavior LLC
• Nicole Elizabeth Conway, PA-C
• Katelyn Leigh Cook, PT
• Scott Cook
• Coolidge Palms Assisted Living Resort
• Coolidge Palms Assisted Living Resort, Inc
• Rachel Erin Cooney

• Developmentally Disabled Services Day Training Agency in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Developmentally Disabled Services Day Training Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.