Active NPI
Four Oaks Health Care Services LLC
- Community/Behavioral Health Agency
- Brooklyn Center, MN
National Provider Identifier
1144993668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- FOUR OAKS HEALTH CARE SERVICES LLC
- Doing business as
- Four Oaks Health Care Services LLC
- Practice address
- 3300 County Road 10 Ste 512a
Brooklyn Center, MN 55429-3068 - Phone
- (336) 478-7444
- NPI assigned
- Jul 29, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Uchenna Junior Richards, OWNER
- Title
- Owner
- Phone
- (336) 478-7444
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Home Health Agency | 251E00000X | |||
| Nursing Care Agency | 251J00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| In Home Supportive Care Agency | 253Z00000X | |||
| Community Health Clinic/Center | 261QC1500X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Comprehensive Outpatient Rehabilitation Facility (CORF) | 261QR0401X | |||
| Substance Abuse Rehabilitation Facility | 324500000X |
Addresses
Primary practice location
3300 County Road 10 Ste 512a
Brooklyn Center, MN 55429-3068
Mailing address
3300 County Road 10 Ste 512a
Brooklyn Center, MN 55429-3068
Phone (336) 478-7444
Other names 1
- Four Oaks Health Care Services LLC
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | fouroakshealthcareservices@gmail.com | Direct |
National Provider Directory
National Provider DirectoryLocations
3300 County Road 10
Ste 512A
Brooklyn Center, MN 55429
Phone (336) 478-7444
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": "1627516800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1627516800000",
"number": "1144993668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 COUNTY ROAD 10 STE 512A",
"city": "BROOKLYN CENTER",
"state": "MN",
"postal_code": "554293068",
"telephone_number": "336-478-7444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 COUNTY ROAD 10 STE 512A",
"city": "BROOKLYN CENTER",
"state": "MN",
"postal_code": "554293068",
"telephone_number": "336-478-7444"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOUR OAKS HEALTH CARE SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-29",
"last_updated": "2021-07-29",
"certification_date": "2021-07-29",
"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": "336-478-7444",
"authorized_official_credential": "OWNER"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0401X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
"state": null,
"license": null,
"primary": false
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "fouroakshealthcareservices@gmail.com",
"affiliation": "N",
"endpointDescription": "emil",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "3300 County Road 10 Ste 512A",
"city": "Brooklyn Center",
"state": "MN",
"country_code": "US",
"postal_code": "554293068",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Four Oaks Health Care Services LLC",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Brooklyn Center, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.