# COOKS HOME ASSISTANCE CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cook Home Assistance Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083491948
- **Authorized official:** COURTNEY DEVON COOKS (OWNER/ADMINISTRATOR)
- **Authorized official phone:** (219) 951-0887

## Contact information

- **Practice address:** 8300 BROADWAY STE F1, MERRILLVILLE, IN 46410-6269
- **Practice address phone:** (219) 777-0917
- **Mailing address:** 8300 BROADWAY STE F1, MERRILLVILLE, IN 46410-6269
- **Mailing address phone:** (219) 951-0887

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 09/13/2023
- **Last updated:** 09/13/2023