Organization Active NPI

4 Connection Home Care

  • In Home Supportive Care Agency
  • Fort Worth, TX
National Provider Identifier
1710797220
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
4 CONNECTION HOME CARE
Practice address
3001 Halloran St Ste 101
Fort Worth, TX 76107-5031
Phone
(817) 789-0140
NPI assigned
Jan 8, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Authorized official

Name
April Reese, RNNPI 1477978765
Title
Administrator
Phone
(505) 429-1065

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

3001 Halloran St Ste 101
Fort Worth, TX 76107-5031

Mailing address

1916 Adams LN
Azle, TX 76020-1848
Phone (505) 429-1065

National Provider Directory

National Provider Directory

Locations

3001 Halloran St
Ste 101
Fort Worth, TX 76107
Phone (817) 789-0140

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1736294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736294400000",
    "number": "1710797220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1916 ADAMS LN",
            "city": "AZLE",
            "state": "TX",
            "postal_code": "760201848",
            "telephone_number": "505-429-1065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 HALLORAN ST STE 101",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761075031",
            "telephone_number": "817-789-0140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "4 CONNECTION HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-08",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A",
        "authorized_official_last_name": "REESE",
        "authorized_official_first_name": "APRIL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "505-429-1065",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; 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.