Four H Home Care Agency

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

HC4295 Issued in NC

Legal business name

FOUR H HOME CARE AGENCY

Practice address

1213 Goshen St
Suite B
Oxford, NC 27565-9313

Phone

(919) 603-0661

Fax

(919) 603-1661

NPI assigned

Sep 11, 2013

Organization subpart

No

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

Authorized official

Name

Joan G Hicks, RN

Title

Agency Director

Phone

(919) 603-0661

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Four H Home Care Agency Former legal business name

Tax ID family

Four H Home Care Agency2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Four H Home Care Agency

  • Home Health Agency
  • Oxford, NC
  • NPI 1902177140
  NPD tax ID

Locations

Practitioners 1

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

• Joan H Hicks, AGENCY DIRECTOR

  • In Home Supportive Care Agency
  • Oxford, NC
  • NPI 1124325782

  Case Management

  NPD (past)

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

{
    "created_epoch": "1378857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378857600000",
    "number": "1215362074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 GOSHEN ST",
            "address_2": "SUITE B",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "275659313",
            "telephone_number": "919-603-0661",
            "fax_number": "919-603-1661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 GOSHEN ST",
            "address_2": "SUITE B",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "275659313",
            "telephone_number": "919-603-0661",
            "fax_number": "919-603-1661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR H HOME CARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-11",
        "last_updated": "2013-09-11",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "AGENCY DIRECTOR",
        "authorized_official_telephone_number": "919-603-0661",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NC",
            "license": "HC4295",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NC",
            "license": "HC4295",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC4295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3419098",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6602203",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Four H Home Care Agency",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Jill Fernandez, PT
• Claudetta Fields, LPN
• Pamela Fleming, CRNA
• Foot and Ankle Clinics of Central Carolina, PC (UNC Podiatry Services)
• Four County Orthopedics PA
• Four H Home Care Agency
• Dorothy P Foushee
• Friendly Home Care LLC
• Virginia S Fuller, MD
• Kelly Gentry, AGNP

• In Home Supportive Care Agency in Oxford, NC
• Providers in Oxford, 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 Sep 11, 2013; 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.