4C2W, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

012503 Issued in TX

Legal business name

4C2W, LLC

Practice address

3133 Executive Dr
San Angelo, TX 76904-6801

Phone

(325) 949-0700

Fax

(325) 949-0778

NPI assigned

Jan 7, 2010

Organization subpart

No

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

Authorized official

Name

Felisa Carson, RN

Title

Administrator/Owner

Phone

(806) 687-7800

Specialties & licenses 1

Addresses

Other names 1

• Comfort Keepers #767 Doing business as

Tax ID family

4C2W LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• 4C2W, LLC

  • In Home Supportive Care Agency
  • Lubbock, TX
  • NPI 1467904524
  NPD tax ID

Locations

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

{
    "created_epoch": "1262822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262822400000",
    "number": "1346570769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8207 HUDSON AVE",
            "address_2": "SUITE C",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794232805",
            "telephone_number": "806-687-7800",
            "fax_number": "806-745-4559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3133 EXECUTIVE DR",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769046801",
            "telephone_number": "325-949-0700",
            "fax_number": "325-949-0778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "4C2W, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-07",
        "last_updated": "2010-01-07",
        "status": "A",
        "authorized_official_last_name": "CARSON",
        "authorized_official_first_name": "FELISA",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "806-687-7800",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "012503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comfort Keepers #767",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 1St Texas Home Health of San Angelo, Inc.
• Eva Mariquit Beniga Abarquez, APRN, FNP-C
• Ahmed Abdelrahman, RPH
• Abe Medical
• Joni Beth Abel, LMSW
• Stuart Lee Abramson, M.D.

• Home Health Agency in San Angelo, TX
• Providers in San Angelo, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2010; 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.