Four Seasons Healthcare

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

HHAAO-021A Issued in DE

Legal business name

FOUR SEASONS HEALTHCARE

Practice address

776 Cobb Hill LN
Pottstown, PA 19465-7831

Phone

(610) 572-2034

Fax

(610) 552-9619

NPI assigned

Feb 17, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Richard Koster, BSC, MBA

Title

Ceo

Phone

(610) 572-2034

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1392595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392595200000",
    "number": "1225452949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "776 COBB HILL LN",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194657831",
            "telephone_number": "610-572-2034",
            "fax_number": "610-552-9619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "776 COBB HILL LN",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194657831",
            "telephone_number": "610-572-2034",
            "fax_number": "610-552-9619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR SEASONS HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-17",
        "last_updated": "2014-02-17",
        "status": "A",
        "authorized_official_last_name": "KOSTER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "610-572-2034",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BSC, MBA"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "DE",
            "license": "HHAAO-021A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A000000405",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dominique Fordham
• John Fornace, D.O.
• Leslie Anne Forsyth, LCSW
• Courtney Foster, B.A.
• Don Fountain, M.S., LPC
• Caitlyn Marie Fox, OTR/L
• Jamie Franklin
• Erin Frederick, MA
• Scott Freed, RPH
• Michelle Elice Freedman

• In Home Supportive Care Agency in Pottstown, PA
• Providers in Pottstown, PA by specialty
• In Home Supportive Care Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2014; 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.