Organization Active NPI

Four Seasons Home Care LLC

  • In Home Supportive Care Agency
  • Forrest City, AR
National Provider Identifier
1639839871
Registry record updated Dec 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
FOUR SEASONS HOME CARE LLC
Practice address
411 Cleveland St
Forrest City, AR 72335-3302
Phone
(870) 494-5393
Fax
(870) 630-8181
NPI assigned
Dec 29, 2021
Last updated
Dec 29, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2021

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

Authorized official

Name
Gabrielle Murray
Title
President/Admin
Phone
(870) 494-5393

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 3747P1801X

Addresses

Primary practice location

411 Cleveland St
Forrest City, AR 72335-3302

Mailing address

331 Mississippi St
Forrest City, AR 72335-2113
Phone (870) 494-5393

National Provider Directory

National Provider Directory

Locations

411 Cleveland St
Forrest City, AR 72335
Phone (870) 494-5393

NPI Registry JSON

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

{
    "created_epoch": "1640736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640736000000",
    "number": "1639839871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 MISSISSIPPI ST",
            "city": "FORREST CITY",
            "state": "AR",
            "postal_code": "723352113",
            "telephone_number": "870-494-5393",
            "fax_number": "870-630-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 CLEVELAND ST",
            "city": "FORREST CITY",
            "state": "AR",
            "postal_code": "723353302",
            "telephone_number": "870-494-5393",
            "fax_number": "870-630-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR SEASONS HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-29",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A",
        "authorized_official_last_name": "MURRAY",
        "authorized_official_first_name": "GABRIELLE",
        "authorized_official_title_or_position": "PRESIDENT/ADMIN",
        "authorized_official_telephone_number": "870-494-5393"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forrest City, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; 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.