Four Oaks Home Care Services LLC- Part 1

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

FOUR OAKS HOME CARE SERVICES LLC- PART 1

Practice address

301 W J J Dr Ste C
Greensboro, NC 27406-4445

Phone

(336) 491-8231

Fax

(877) 895-1090

NPI assigned

Jul 24, 2020

Last updated

Aug 1, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Uchenna Junior RichardsNPI 1982134607

Title

Owner

Phone

(336) 491-8231

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Four oaks home care services lls -part 1 Former legal business name

Electronic endpoints 1

Tax ID family

Four Oaks Home Care Services LLC Part 33 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Four Oaks Home Care Services LLC Part 2

  dba four oaks home care services part 2

  • In Home Supportive Care Agency
  • Durham, NC
  • NPI 1396465795
  NPD tax ID
• Four Oaks Home Care Services LLC Part 3

  • In Home Supportive Care Agency
  • Goldsboro, NC
  • NPI 1336869734
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Four Oaks Home Care Services LLC Part 2

  dba four oaks home care services part 2

  • In Home Supportive Care Agency
  • Durham, NC
  • NPI 1396465795
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Uchenna Junior Richards

  • Nursing Care Agency
  • Greensboro, NC
  • NPI 1982134607

  Home Health

  NPD Authorized official

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

{
    "created_epoch": "1595548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659312000000",
    "number": "1003425109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 SUMMIT AVE STE 6",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274057746",
            "telephone_number": "336-491-8231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W J J DR STE C",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274064445",
            "telephone_number": "336-491-8231",
            "fax_number": "877-895-1090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2451 Croasdaile Farm Pkwy Ste 107",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277051466",
            "country_code": "US",
            "telephone_number": "336-491-8231",
            "fax_number": "877-895-1090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "203 N Jackson St Ste B",
            "address_purpose": "LOCATION",
            "city": "Goldsboro",
            "state": "NC",
            "postal_code": "275303857",
            "country_code": "US",
            "telephone_number": "336-491-8231",
            "fax_number": "877-895-1090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FOUR OAKS HOME CARE SERVICES LLC- PART 1",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-24",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "UCHENNA",
        "authorized_official_middle_name": "JUNIOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-491-8231",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003425109",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "fouroakshomecareservices@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "611 Summit Ave Ste 6",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "274057746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Four oaks home care services lls -part 1",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Foundations 2 Transitions
• Aaron Fountain
• Madison Lee Fountain, DNP, AGNP-C
• Fountainfamilycare
• Four Oaks Care Services LLC
• Barbara Anne Fousek, MSW, M.ED. LCSW,ACSW
• Constance Foushee, FNP
• Brooke Gibson Fowler, PHARMD
• Lisa Dawn Fowler, MSW, LCAS-A, NCCPSS
• Ryann Fowler, MS, ATC, LAT

• In Home Supportive Care Agency in Greensboro, NC
• Providers in Greensboro, NC by specialty
• In Home Supportive Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; 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.