Organization Active NPI

Four Seasons Home Health Services Inc.

  • Home Health Agency
  • Murphy, TX
National Provider Identifier
1235373267
Registry record updated Sep 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FOUR SEASONS HOME HEALTH SERVICES INC.
Practice address
531 Cedarbird TRL
Murphy, TX 75094-3862
Phone
(469) 231-1281
NPI assigned
Apr 21, 2009
Last updated
Sep 22, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2011

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

Authorized official

Name
Mr. Lawrence Ikenna Oliobi
Title
Administrator
Phone
(469) 231-1281

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

531 Cedarbird TRL
Murphy, TX 75094-3862

Mailing address

531 Cedarbird TRL
Murphy, TX 75094-3862
Phone (469) 231-1281

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100713000409 TX Part A Provider - Home Health Agency 1153453097 Practice locations: Dallas, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1235373267. Details of each certification follow.

Home health agency certification: CCN 747467

Legal name
FOUR SEASONS HOME HEALTH SERVICES INC.
Doing business as
FOUR SEASONS HOME HEALTH SERVICES, INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 22, 2010
Last certification
Nov 5, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Dec 1, 2008 in TX
Enrollment address
9304 Forest Lane
Suitre S201
Dallas, TX 75243

Care Compare: Home health agency

Medicare Care Compare
Listed as
Four Seasons Home Health Services IncCCN 747467 · All quality measures
Ownership
Proprietary
Certified
Dec 22, 2010
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2001093Four Seasons Home Health Services, Inc9304 Forest Lane , Suite S-201, Dallas, TX 75243Certificate of waiverDec 10, 2027

National Provider Directory

National Provider Directory

Locations

9304 Forest Ln
#S201
Dallas, TX 75243
Phone (972) 925-0735

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Lawrence Oliobi Individual 5% Or Greater Direct Ownership Interest Jan 8, 2010
Corporate Director Dec 1, 2008
W-2 Managing Employee Dec 1, 2008
Stella Olionbi Individual Corporate Director Jan 8, 2010

NPI Registry JSON

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

{
    "created_epoch": "1240272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316649600000",
    "number": "1235373267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 CEDARBIRD TRL",
            "city": "MURPHY",
            "state": "TX",
            "postal_code": "750943862",
            "telephone_number": "469-231-1281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 CEDARBIRD TRL",
            "city": "MURPHY",
            "state": "TX",
            "postal_code": "750943862",
            "telephone_number": "469-231-1281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR SEASONS HOME HEALTH SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-21",
        "last_updated": "2011-09-22",
        "status": "A",
        "authorized_official_last_name": "OLIOBI",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "IKENNA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "469-231-1281",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murphy, TX

Sources for this page

Verify at the official NPI Registry.