4 Plus 1 Enterprises, LLC
Organization Active NPI In Home Supportive Care Agency · Snellville, GA
NPI 1316664725 · NPPES record last updated Mar 27, 2024
Key facts
- NPI
- 1316664725
- Entity type
- Organization (NPI type 2)
- Primary specialty
- In Home Supportive Care Agency 253Z00000X
- Legal business name
- 4 PLUS 1 ENTERPRISES, LLC
- Practice address
- 2175 Highpoint Rd Ste 113
Snellville, GA 30078-3188 - Phone
- (678) 373-6097
- NPI assigned
- Oct 26, 2022
- Organization subpart
- No
Authorized official
- Name
- Jasmine Nicole Hutchinson, RN
- Title
- Administrator/Managing Partner
- Phone
- (424) 204-3403
Other NPIs on the same Medicare enrollment 2
Other NPIs with the same Medicare PAC ID 1
Subparts reporting this organization as parent 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221213000860 | GA | Part B Supplier - Independent Clinical Laboratory | 5092184101 |
1 other NPI on this enrollment Practice locations: Lawrenceville, GA; Snellville, GA |
| O20230508000770 | GA | DME Supplier - Medical Supply Company | 5092184101 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Lawrenceville, GA |
National Provider Directory
Locations
2175 Highpoint Rd
Ste 113
Snellville, GA 30078
Phone (678) 373-6097
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| In Home Supportive Care Agency | 253Z00000X | Yes | ||
| Clinical Medical Laboratory | 291U00000X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
2175 Highpoint Rd Ste 113
Snellville, GA 30078-3188
Mailing address
1710 Timberline Trce
Snellville, GA 30078-6675
Phone (424) 204-3403
Other practice location 1
1710 Timberline Trce
Snellville, GA 30078-6675
Phone (424) 204-3403
Other names
- 4 Plus 1 Home Care Services
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All providers in Snellville, GA · In Home Supportive Care Agency in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.