4 Horsemen Rehabilitative Services Inc.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

4 HORSEMEN REHABILITATIVE SERVICES INC.

Practice address

1610 Vinebrook Ter NW
Kennesaw, GA 30144-2977

Phone

(910) 224-3562

Fax

(910) 224-3562

NPI assigned

Jun 6, 2017

Organization subpart

No

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

Authorized official

Name

Mr. James Richardson Jr.

Title

Chief Executive Officer

Phone

(915) 929-1164

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James C. McGoogan, MSPBH,MPC,LCASA,CADC

  • Addiction (Substance Use Disorder) Counselor
  • Charlotte, NC
  • NPI 1275025504
  NPD (past)

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

{
    "created_epoch": "1496707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496707200000",
    "number": "1508395393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 VINEBROOK TER NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301442977",
            "telephone_number": "910-224-3562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 VINEBROOK TER NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301442977",
            "telephone_number": "910-224-3562",
            "fax_number": "910-224-3562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "4 HORSEMEN REHABILITATIVE SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-06",
        "last_updated": "2017-06-06",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "915-929-1164",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 4Sourcegroup, LLC
• A New Day Medical Company, Inc.
• Mahlet Mulugeta Abebe, PMHNP
• Marijane Abeyta, NP
• Adelani Abimbola, DMD

• Case Management Agency in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Case Management Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2017; 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.