Fourcooks Senior Care, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

FOURCOOKS SENIOR CARE, LLC

Practice address

329 W Hwy 6 Ste C
Waco, TX 76710-5574

Phone

(254) 741-5929

Fax

(254) 741-5928

NPI assigned

Dec 20, 2018

Last updated

Dec 20, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jack Cook

Title

Member

Phone

(254) 741-5929

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1545264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545264000000",
    "number": "1538631171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23648",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767023648",
            "telephone_number": "254-741-5929",
            "fax_number": "254-741-5928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 W HWY 6 STE C",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767105574",
            "telephone_number": "254-741-5929",
            "fax_number": "254-741-5928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOURCOOKS SENIOR CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-20",
        "last_updated": "2018-12-20",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "254-741-5929"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Marie Forte, LPC
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• Megan R Fortenberry
• Tiffany Nichole Forward, BT
• Emma Foster
• Ashley Fowler, LCSW
• Dustin Fowler, D.O.
• Rebecca Fox, MA, LPC-S
• David Cannon Fram, OD
• Jason Paul Francis, LPC

• Skilled Nursing Facility in Waco, TX
• Providers in Waco, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2018; 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.