NPIMap

Organization Active NPI

Four Oaks Home Care Services LLC Part 3

  • In Home Supportive Care Agency
  • Goldsboro, NC
National Provider Identifier
1336869734
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
FOUR OAKS HOME CARE SERVICES LLC PART 3
Practice address
203 N Jackson St Ste B
Goldsboro, NC 27530-3857
Phone
(336) 491-8231
NPI assigned
Aug 29, 2022
Organization subpart
Yes
Parent organization
FOUR OAKS HOME CARE SERVICES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Authorized official

Name
Uchenna Junior Richards
Title
Office Manager
Phone
(336) 491-8231

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X
In Home Supportive Care Agency 253Z00000X Primary
Non-emergency Medical Transport (VAN) 343900000X

Addresses

Primary practice location

203 N Jackson St Ste B
Goldsboro, NC 27530-3857

Mailing address

203 N Jackson St Ste B
Goldsboro, NC 27530-3857
Phone (336) 491-8231

Other names 1

  • four oaks home care services llc part 3 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Four Oaks Home Care Services LLC Part 33 organizations share this tax ID, including this one
Part of
Four Oaks Home Care Services LLC Part 3

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661731200000",
    "number": "1336869734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 N JACKSON ST STE B",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275303857",
            "telephone_number": "336-491-8231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 N JACKSON ST STE B",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275303857",
            "telephone_number": "336-491-8231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR OAKS HOME CARE SERVICES LLC PART 3",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FOUR OAKS HOME CARE SERVICES LLC",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "UCHENNA",
        "authorized_official_middle_name": "JUNIOR",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "336-491-8231"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "four oaks home care services llc part 3",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Goldsboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.