Four Oaks Inc
Organization Active NPI Community Based Hospice Care Agency · Dexter, MO
NPI 1093020380 · NPPES record last updated Sep 23, 2014
Key facts
- NPI
- 1093020380
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 251G00000X
- License
- 192-4HO (MO)
- Legal business name
- FOUR OAKS INC
- Practice address
- 1615 W Business US Highway 60
Suite a & B
Dexter, MO 63841-2838 - Phone
- (573) 624-3655
- Fax
- (573) 624-4323
- NPI assigned
- Aug 11, 2010
- Organization subpart
- No
Authorized official
- Name
- Mr. Donald B Bedell
- Title
- President
- Phone
- (573) 471-1276
Change of ownership 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Change-of-ownership history
| Date | Event | Counterparty |
|---|---|---|
| Jan 1, 2016 | Change of Ownership |
Elite Hospice |
National Provider Directory
Locations
1615 W Business US Highway 60
Ste A
Dexter, MO 63841
Phone (573) 624-3655
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 192-4HO | MO | Yes |
Addresses
Primary practice location
1615 W Business US Highway 60
Suite a & B
Dexter, MO 63841-2838
Mailing address
731 N Main St
P.O. Box 1210
Sikeston, MO 63801-2151
Phone (573) 471-1276
Other names
- Four Oaks Hospice
Other providers in Dexter, MO
- Enlighten Counseling LLC
- Kimberly Essner
- Ferguson Medical Group Rural Health Center, Inc
- Kelly Fields-Wilburn
- Gina Nicole Finch
- Frank Furnari
- Ashley Marie Gantner
- Natalie Gargas
- Neal W Garner
- Generations Health Systems of Dexter, LLC
All providers in Dexter, MO · Community Based Hospice Care Agency in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.