# COOK CHILDRENS HOME HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** COOK CHILDREN'S HOME HEALTH
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1801866173
- **Legal business name:** COOK CHILDREN'S HOME HEALTH
- **Authorized official:** MICHAEL R SIMMONS (PRESIDENT, CCHH)
- **Authorized official phone:** (682) 885-2409

## Contact information

- **Practice address:** 1101 W VICKERY BLVD, FORT WORTH, TX 76104-1025
- **Practice address phone:** (682) 885-6294
- **Practice address fax:** (682) 885-2499
- **Mailing address:** PO BOX 99283, FORT WORTH, TX 76199-1383
- **Mailing address phone:** (682) 885-6294
- **Mailing address fax:** (682) 885-5606

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 4026020001 | NULL | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |
| 332BC3200X | Customized Equipment (DME) | — | NULL | — |
| 335E00000X | Prosthetic/Orthotic Supplier | — | NULL | — |

## Other

- **Enumeration date:** 01/26/2006
- **Last updated:** 08/06/2024