Organization Active NPI

Four Leaf Home Care LLC

  • In Home Supportive Care Agency
  • Pembroke Pines, FL
National Provider Identifier
1255067120
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
FOUR LEAF HOME CARE LLC
Practice address
15800 Pines Blvd Ste 3054
Pembroke Pines, FL 33027-1212
Phone
(786) 326-5899
NPI assigned
Jul 25, 2022
Last updated
Jul 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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

Authorized official

Name
Tamika McClendonNPI 1962137984
Title
Owner
Phone
(786) 326-5899

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

15800 Pines Blvd Ste 3054
Pembroke Pines, FL 33027-1212

Mailing address

8409 Bottom Woods Cir Apt 301
Tampa, FL 33637-5078
Phone (786) 326-5899

National Provider Directory

National Provider Directory

Locations

15800 Pines Blvd
Ste 3054
Pembroke Pines, FL 33027
Phone (786) 326-5899

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1658707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658707200000",
    "number": "1255067120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8409 BOTTOM WOODS CIR APT 301",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336375078",
            "telephone_number": "786-326-5899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15800 PINES BLVD STE 3054",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330271212",
            "telephone_number": "786-326-5899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR LEAF HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-25",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A",
        "authorized_official_last_name": "MCCLENDON",
        "authorized_official_first_name": "TAMIKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-326-5899"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; 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.