NPIMap

Organization Active NPI

Four County Health Care, LLC

Doing business as Four County Health Care

  • Respite Care
  • Richland, GA
National Provider Identifier
1235268053
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
License
1-128-1712 Issued in GA
Legal business name
FOUR COUNTY HEALTH CARE, LLC
Doing business as
Four County Health Care
Practice address
99 Overby Dr
Richland, GA 31825-1322
Phone
(229) 887-2021
Fax
(229) 887-3978
NPI assigned
Mar 5, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Kim Sheffield
Title
VP of Financial Reporting
Phone
(478) 621-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X 1-128-1712 GA Primary

Addresses

Primary practice location

99 Overby Dr
Richland, GA 31825-1322

Mailing address

PO Box 339
Richland, GA 31825-0339
Phone (229) 887-2021

Other names 1

  • Four County Health Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Four County Health Care3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235268053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 339",
            "city": "RICHLAND",
            "state": "GA",
            "postal_code": "318250339",
            "telephone_number": "229-887-2021",
            "fax_number": "229-887-3978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 OVERBY DR",
            "city": "RICHLAND",
            "state": "GA",
            "postal_code": "318251322",
            "telephone_number": "229-887-2021",
            "fax_number": "229-887-3978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR COUNTY HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHEFFIELD",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "VP OF FINANCIAL REPORTING",
        "authorized_official_telephone_number": "478-621-2100"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "GA",
            "license": "1-128-1712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Four County Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richland, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.