NPIMap

Organization Active NPI

Four Corners Community Services LLC

  • Developmentally Disabled Services Day Training Agency
  • Union City, NJ
National Provider Identifier
1730929050
Registry record updated May 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
FOUR CORNERS COMMUNITY SERVICES LLC
Practice address
201 19TH St FL 1
Union City, NJ 07087-5439
Phone
(973) 210-6066
NPI assigned
May 27, 2024
Organization subpart
Yes
Parent organization
FOUR CORNERS COMMUNITY SERVICES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 27, 2024

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

Authorized official

Name
Miss Ama J Baffoe
Title
Executive Director
Phone
(973) 210-6066

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary
Supports Brokerage Agency 251X00000X
Adult Day Care Clinic/Center 261QA0600X
Developmental Disabilities Clinic/Center 261QD1600X

Addresses

Primary practice location

201 19TH St FL 1
Union City, NJ 07087-5439

Mailing address

209 Passaic Ave
Belleville, NJ 07109-1960
Phone (973) 392-0430

National Provider Directory

National Provider Directory
Tax ID family
Four Corners Community Services6 organizations share this tax ID, including this one
Part of
Four Corners Community Services

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

201 19th St
#1
Union City, NJ 07087
Phone (973) 210-6066

NPI Registry JSON

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

{
    "created_epoch": "1716768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716768000000",
    "number": "1730929050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 PASSAIC AVE",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071091960",
            "telephone_number": "973-392-0430",
            "fax_number": "973-436-4714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 19TH ST FL 1",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070875439",
            "telephone_number": "973-210-6066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR CORNERS COMMUNITY SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FOUR CORNERS COMMUNITY SERVICES LLC",
        "enumeration_date": "2024-05-27",
        "last_updated": "2024-05-27",
        "certification_date": "2024-05-26",
        "status": "A",
        "authorized_official_last_name": "BAFFOE",
        "authorized_official_first_name": "AMA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "973-210-6066",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.