Four Seasons Home Health Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

101883 Issued in NM

Legal business name

FOUR SEASONS HOME HEALTH CARE

Practice address

64 W Dine Housing St Lot 12
Shiprock, NM 87420

Phone

(505) 635-3071

NPI assigned

Jul 1, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Vivian Benally

Title

Ceo/ Owner

Phone

(505) 635-3071

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435708800000",
    "number": "1316320997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 53",
            "city": "SHIPROCK",
            "state": "NM",
            "postal_code": "874200053",
            "telephone_number": "505-635-3071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 W DINE HOUSING ST LOT 12",
            "city": "SHIPROCK",
            "state": "NM",
            "postal_code": "87420",
            "telephone_number": "505-635-3071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR SEASONS HOME HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-01",
        "last_updated": "2015-07-01",
        "status": "A",
        "authorized_official_last_name": "BENALLY",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_title_or_position": "CEO/ OWNER",
        "authorized_official_telephone_number": "505-635-3071",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NM",
            "license": "101883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawrence P Forman III, R.D.
• Andrew Michael Foster, PHARM.D.
• Venecia Rashonda Foster, LMSW
• Four Brothers Health Care,LLC
• Four Corners HHC
• Dawn Fowler
• Elma Franceware, RN
• Grace Rathna Francis, FNP-C, ARNP, MS
• Peggy Ann Francis, MS, LADAC,CADS,LMHC
• Sierra Frank Ignacio, MSW, LSAA, CADS

• Home Health Agency in Shiprock, NM
• Providers in Shiprock, NM by specialty
• Home Health Agency in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; 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.