Provider Demographics
NPI:1821337155
Name:COOK'S HOME HEALTH TRANSPORTATION, LTD.
Entity Type:Organization
Organization Name:COOK'S HOME HEALTH TRANSPORTATION, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:DIANE
Authorized Official - Last Name:MACDONALD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-283-8208
Mailing Address - Street 1:81 HILLSIDE AVE
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:CT
Mailing Address - Zip Code:06782-2305
Mailing Address - Country:US
Mailing Address - Phone:860-283-8208
Mailing Address - Fax:860-283-6667
Practice Address - Street 1:81 HILLSIDE AVE
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:CT
Practice Address - Zip Code:06782-2305
Practice Address - Country:US
Practice Address - Phone:860-283-8208
Practice Address - Fax:860-283-6667
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-06
Last Update Date:2013-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT2267OtherLOGISTICARE
CT2267OtherDEPARTMENT OF TRANSPORTATION