NPIMap

Organization Active NPI

Four Corners Nursing Services LLC

  • In Home Supportive Care Agency
  • Fort Lauderdale, FL
National Provider Identifier
1366291916
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
FOUR CORNERS NURSING SERVICES LLC
Practice address
1 E Broward Blvd Ste 700
Fort Lauderdale, FL 33301-1876
Phone
(954) 661-9741
NPI assigned
May 16, 2024
Last updated
Aug 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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

Authorized official

Name
Mrs. Nicola Webb
Title
Administrator / Owner
Phone
(954) 661-9741

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary
Personal Care AttendantGroup: 193400000X SINGLE SPECIALTY GROUP 3747P1801X

Addresses

Primary practice location

1 E Broward Blvd Ste 700
Fort Lauderdale, FL 33301-1876

Mailing address

760 W Evanston Cir
Fort Lauderdale, FL 33312-2615
Phone (954) 661-9741

Other names 1

  • FOUR CORNERS NURSING SERVICERS LLC Other name

National Provider Directory

National Provider Directory
Tax ID family
Four Corners Nursing Servicers 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.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1715817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724976000000",
    "number": "1366291916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 W EVANSTON CIR",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333122615",
            "telephone_number": "954-661-9741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 E BROWARD BLVD STE 700",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333011876",
            "telephone_number": "954-661-9741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR CORNERS NURSING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-16",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "NICOLA",
        "authorized_official_title_or_position": "ADMINISTRATOR / OWNER",
        "authorized_official_telephone_number": "954-661-9741",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FOUR CORNERS NURSING SERVICERS LLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "FOUR CORNERS NURSING SERVICERS LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; 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.