Organization Active NPI

Four Oaks Care Services LLC

  • Community/Behavioral Health Agency
  • Greensboro, NC
National Provider Identifier
1740953256
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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

Updated by the provider on Jul 27, 2022

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

Authorized official

Name
Uchenna Junior Richards, OWNERNPI 1982134607
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)CodeLicenseStatePrimary
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 Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Fouroakshealthservices@gmail.com Direct

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.