Active NPI
Four Oaks Care Services LLC
- Community/Behavioral Health Agency
- Greensboro, NC
National Provider Identifier
1740953256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- FOUR OAKS CARE SERVICES LLC
- Practice address
- 301 W J J Dr Ste D
Greensboro, NC 27406-4445 - Phone
- (336) 763-5030
- Fax
- (877) 895-1090
- NPI assigned
- Jul 29, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Uchenna Junior Richards, OWNER
- Title
- Owner
- Phone
- (336) 209-5459
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 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| Community Health Clinic/Center | 261QC1500X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | |||
| Comprehensive Outpatient Rehabilitation Facility (CORF) | 261QR0401X | |||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | |||
| Children's Substance Abuse Rehabilitation Facility | 3245S0500X |
Addresses
Primary practice location
301 W J J Dr Ste D
Greensboro, NC 27406-4445
Mailing address
611 Summit Ave Ste 15
Greensboro, NC 27405-7746
Phone (336) 478-7444
Other names 1
- Four Oaks Care Services llc
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Fouroakshealthservices@gmail.com | Direct |
National Provider Directory
National Provider DirectoryLocations
611 Summit Ave
Ste 15
Greensboro, NC 27405
301 W J J Dr
Ste D
Greensboro, NC 27406
Phone (336) 763-5030
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nursing Care Agency
- Greensboro, NC
- NPI 1982134607
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627516800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658880000000",
"number": "1740953256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 SUMMIT AVE STE 15",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274057746",
"telephone_number": "336-478-7444",
"fax_number": "877-895-1090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 W J J DR STE D",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274064445",
"telephone_number": "336-763-5030",
"fax_number": "877-895-1090"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOUR OAKS CARE SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-29",
"last_updated": "2022-07-27",
"certification_date": "2022-07-27",
"status": "A",
"authorized_official_last_name": "RICHARDS",
"authorized_official_first_name": "UCHENNA",
"authorized_official_middle_name": "JUNIOR",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "336-209-5459",
"authorized_official_credential": "OWNER"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0401X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": false
},
{
"code": "3245S0500X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Fouroakshealthservices@gmail.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"contentOtherDescription": "email",
"address_1": "611 Summit Ave Ste 15",
"city": "Greensboro",
"state": "NC",
"country_code": "US",
"postal_code": "274057746",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Four Oaks Care Services llc",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Four Oaks Care Services llc",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.