Team 4 Ultimate Care

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

TEAM 4 ULTIMATE CARE

Practice address

1122 N Pine St
Fordyce, AR 71742-7009

Phone

(870) 807-3639

Fax

(501) 575-6093

NPI assigned

Sep 15, 2026

Last updated

Sep 15, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

TEAM 4 ULTIMATE CAREAs reported in NPPES

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

Authorized official

Name

Kreston Tyrell GibbsNPI 1467177667

Title

Executive Director

Phone

(870) 807-3639

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, and the practitioner matching its NPPES authorized official.

• Kreston Tyrell Gibbs

  • In Home Supportive Care Agency
  • Fordyce, AR
  • NPI 1467177667
  Authorized official Same address or phone

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

{
    "created_epoch": "1789430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789430400000",
    "number": "1619888047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 N PINE ST",
            "city": "FORDYCE",
            "state": "AR",
            "postal_code": "717427009",
            "telephone_number": "870-807-3639",
            "fax_number": "501-575-6093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 N PINE ST",
            "city": "FORDYCE",
            "state": "AR",
            "postal_code": "717427009",
            "telephone_number": "870-807-3639",
            "fax_number": "501-575-6093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAM 4 ULTIMATE CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TEAM 4 ULTIMATE CARE",
        "enumeration_date": "2026-09-15",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A",
        "authorized_official_last_name": "GIBBS",
        "authorized_official_first_name": "KRESTON",
        "authorized_official_middle_name": "TYRELL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "870-807-3639"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Marcus Summers, P.D.
• Joyce Swartz, MHPP
• Jon Nicholas Tanner, MHPP
• Kelli Nicole Tanner, MHPP
• Timothy Taylor, MHPP
• Teresa White
• Devan Michelle Tillman, PTA
• Donna Leann Trammel, MHPP
• Stephanie Turner, MHPP
• Brandy Tydingco, LPC

• In Home Supportive Care Agency in Fordyce, AR
• Providers in Fordyce, AR by specialty
• In Home Supportive Care Agency in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; 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.