Organization Active NPI

Trifour Healthcare, LLC

  • Home Health Agency
  • Fresno, CA
National Provider Identifier
1083381776
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
TRIFOUR HEALTHCARE, LLC
Practice address
4274 N Blackstone Ave
Fresno, CA 93726-1900
Phone
(800) 666-5323
Fax
(844) 626-2020
NPI assigned
Aug 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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

Authorized official

Name
Martha Ozokwelu
Title
Administrator
Phone
(800) 666-5323

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Home Infusion Agency 251F00000X
Community Based Hospice Care Agency 251G00000X
Community/Behavioral Health Agency 251S00000X
In Home Supportive Care Agency 253Z00000X
Health Service Clinic/Center 261QH0100X
Prison Health Clinic/Center 261QP2400X
Skilled Nursing Facility 314000000X
Nursing Facility Supplies (DME) 332BN1400X
Respite Care Camp 385HR2050X

Addresses

Primary practice location

4274 N Blackstone Ave
Fresno, CA 93726-1900

Mailing address

4274 N Blackstone Ave Ste 102
Fresno, CA 93726-1900
Phone (800) 666-5323

Other practice location 1

204 N Floral St Ste B
Visalia, CA 93291-4957
Phone (800) 666-5323

Other practice location 2

1811A Del Paso Blvd
Sacramento, CA 95815-3018
Phone (800) 666-5323

Other practice location 3

3341 Judah St
San Francisco, CA 94122-1324
Phone (800) 666-5323

Other identifiers 1

IdentifierTypeStateIssuer
63-21082OtherCAHOME HEALTH AGENCY

Other names 2

  • FOUR CORNER HEALTH, LLC Doing business as
  • FOUR CORNERS HEALTH Other name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address admin@4cornerhealth.com Direct
Other URL http://www.4cornerhealth.com Direct

National Provider Directory

National Provider Directory

Locations

1811 Del Paso Blvd
#A
Sacramento, CA 95815
Phone (800) 666-5323

204 N Floral St
Ste B
Visalia, CA 93291
Phone (800) 666-5323

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732665600000",
    "number": "1083381776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4274 N BLACKSTONE AVE STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937261900",
            "telephone_number": "800-666-5323",
            "fax_number": "844-686-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4274 N BLACKSTONE AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937261900",
            "telephone_number": "800-666-5323",
            "fax_number": "844-626-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "204 N Floral St Ste B",
            "address_purpose": "LOCATION",
            "city": "Visalia",
            "state": "CA",
            "postal_code": "932914957",
            "country_code": "US",
            "telephone_number": "800-666-5323",
            "fax_number": "844-686-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1811A Del Paso Blvd",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958153018",
            "country_code": "US",
            "telephone_number": "800-666-5323",
            "fax_number": "844-646-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3341 Judah St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941221324",
            "country_code": "US",
            "telephone_number": "800-666-5323",
            "fax_number": "844-848-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRIFOUR HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-30",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A",
        "authorized_official_last_name": "OZOKWELU",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "800-666-5323"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Prison Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2050X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care Camp",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME HEALTH AGENCY",
            "identifier": "63-21082",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@4cornerhealth.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4274 N Blackstone Ave",
            "city": "Fresno",
            "state": "CA",
            "country_code": "US",
            "postal_code": "937261900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "http://www.4cornerhealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1310 E Olive Ave",
            "city": "Fresno",
            "state": "CA",
            "country_code": "US",
            "postal_code": "937283610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "FOUR CORNER HEALTH, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FOUR CORNERS HEALTH",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "FOUR CORNERS HEALTH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.