Four Seasons Home Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

FOUR SEASONS HOME CARE LLC

Doing business as

Four Seasons Home Care LLC

Practice address

5401 S East St Ste 207D
Indianapolis, IN 46227-2093

Phone

(463) 253-0504

Fax

(463) 203-0219

NPI assigned

Feb 19, 2024

Organization subpart

No

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

Authorized official

Name

Brianna Shanqula Malone

Title

Ceo

Phone

(463) 253-0504

Specialties & licenses 1

Addresses

Other names 1

• Four Seasons Home Care LLC Doing business as

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

{
    "created_epoch": "1708300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708300800000",
    "number": "1699530733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 S EAST ST STE 207D",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462272093",
            "telephone_number": "463-201-6334",
            "fax_number": "463-203-0219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 S EAST ST STE 207D",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462272093",
            "telephone_number": "463-253-0504",
            "fax_number": "463-203-0219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR SEASONS HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-19",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-17",
        "status": "A",
        "authorized_official_last_name": "MALONE",
        "authorized_official_first_name": "BRIANNA",
        "authorized_official_middle_name": "SHANQULA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "463-253-0504"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Four Seasons Home Care LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; 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.