Organization Active NPI

Four Oaks Home Care Services LLC Part 2

  • In Home Supportive Care Agency
  • Durham, NC
National Provider Identifier
1396465795
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 2
Practice address
2451 Croasdaile Farm Pkwy Ste 107
Durham, NC 27705-1466
Phone
(336) 491-8231
NPI assigned
Aug 29, 2022
Organization subpart
Yes
Parent organization
FOUR OAKS HOME CARE SERVICES LLC- PART 1As 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
Admin
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

2451 Croasdaile Farm Pkwy Ste 107
Durham, NC 27705-1466

Mailing address

2451 Croasdaile Farm Pkwy Ste 107
Durham, NC 27705-1466
Phone (336) 491-8231

Other names 1

  • four oaks home care services part 2 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.

Locations

2451 Croasdaile Farm Pkwy
Ste 107
Durham, NC 27705
Phone (336) 340-7491

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1396465795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2451 CROASDAILE FARM PKWY STE 107",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277051466",
            "telephone_number": "336-491-8231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 CROASDAILE FARM PKWY STE 107",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277051466",
            "telephone_number": "336-491-8231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR OAKS HOME CARE SERVICES LLC PART 2",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FOUR OAKS HOME CARE SERVICES LLC- PART 1",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-01",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "UCHENNA",
        "authorized_official_middle_name": "JUNIOR",
        "authorized_official_title_or_position": "ADMIN",
        "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 part 2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Durham, 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.