NPIMap

Organization Active NPI

Cook Childrens Home Health

  • Pharmacy
  • Fort Worth, TX
National Provider Identifier
1952371239
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
20616 Issued in TX
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
Reactivated
Dec 1, 2008
Organization subpart
Yes
Parent organization
COOK CHILDREN'S HOME HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 6, 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) 885-2409

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Agency 251F00000X
Pharmacy 333600000X 20616 TX Primary

Addresses

Primary practice location

1101 W Vickery Blvd
Fort Worth, TX 76104-1025

Mailing address

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

Electronic endpoints 1

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

National Provider Directory

National Provider Directory
Tax ID family
Cook Childrens Home Health6 organizations share this tax ID, including this one
Part of
Cook Childrens 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": "1138233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722902400000",
    "number": "1952371239",
    "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",
        "deactivation_date": "2007-02-26",
        "reactivation_date": "2008-12-01",
        "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": "682-885-2409"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "20616",
            "primary": true
        }
    ],
    "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": []
}

Other providers in Fort Worth, TX

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.