4Tees Community Resources LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

4TEES COMMUNITY RESOURCES LLC

Practice address

70 Long St
East Orange, NJ 07017-1208

Phone

(862) 252-9586

Fax

(862) 252-9587

NPI assigned

Aug 7, 2019

Organization subpart

No

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

Authorized official

Name

John Odefemi, RNBC,MSN

Title

Administrator/Owner

Phone

(973) 444-6512

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1565136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572480000000",
    "number": "1235784158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 LONG ST",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070171208",
            "telephone_number": "862-252-9586",
            "fax_number": "862-252-9587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 LONG ST",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070171208",
            "telephone_number": "862-252-9586",
            "fax_number": "862-252-9587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "4TEES COMMUNITY RESOURCES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-07",
        "last_updated": "2019-10-31",
        "status": "A",
        "authorized_official_last_name": "ODEFEMI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "973-444-6512",
        "authorized_official_credential": "RNBC,MSN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 134 Evergreen Place Day Care
• 2ND Home East Orange LLC
• 447 William St LLC
• A-1 Unlimited
• A1 Medical Care PC
• George Abadeer, DPM
• Alloy Abasali
• Abdul and Borges Inc

• All providers in East Orange, NJ
• Home Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; 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.