4 Corners Residential Care, LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

4 CORNERS RESIDENTIAL CARE, LLC

Practice address

3816 Acacia TRL
The Colony, TX 75056-3681

Phone

(972) 897-0548

NPI assigned

Jan 6, 2015

Last updated

May 20, 2015By 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

Roderic Horton

Title

Owner

Phone

(972) 897-0548

Specialties & licenses 2

Addresses

Other names 1

• 4 Corners Residential Services, LLC Other name

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

{
    "created_epoch": "1420502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432080000000",
    "number": "1154719664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3816 ACACIA TRL",
            "city": "THE COLONY",
            "state": "TX",
            "postal_code": "750563681",
            "telephone_number": "972-897-0548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3816 ACACIA TRL",
            "city": "THE COLONY",
            "state": "TX",
            "postal_code": "750563681",
            "telephone_number": "972-897-0548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "4 CORNERS RESIDENTIAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-06",
        "last_updated": "2015-05-20",
        "status": "A",
        "authorized_official_last_name": "HORTON",
        "authorized_official_first_name": "RODERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-897-0548"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "4 Corners Residential Services, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Non-emergency Medical Transport (VAN) in The Colony, TX
• Providers in The Colony, TX by specialty
• Non-emergency Medical Transport (VAN) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; 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.