NPIMap

Organization Active NPI

Four Corners Community Services LLC

  • Day Training/Habilitation Specialist
  • Oxford, NJ
National Provider Identifier
1932785631
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Day Training/Habilitation SpecialistTaxonomy code 373H00000X
Legal business name
FOUR CORNERS COMMUNITY SERVICES LLC
Practice address
35A Wall St
Oxford, NJ 07863-6616
Phone
(973) 436-4704
Fax
(973) 436-4714
NPI assigned
Mar 22, 2021
Last updated
Mar 22, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
FOUR CORNERS COMMUNITY SERVICES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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

Authorized official

Name
Ms. Ama J Baffoe
Title
Executive Director
Phone
(973) 436-4704

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Occupational Therapist 225X00000X
Day Training/Habilitation Specialist 373H00000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

35A Wall St
Oxford, NJ 07863-6616

Mailing address

209 Passaic Avenue
FL 1
Belleville, NJ 07109
Phone (973) 436-4704

Other names 1

  • Excel Day Habilitation Services Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address fccsnj@outlook.com Health Information Exchange (HIE)

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.

NPI Registry JSON

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

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616371200000",
    "number": "1932785631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 PASSAIC AVENUE",
            "address_2": "FL 1",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "07109",
            "telephone_number": "973-436-4704",
            "fax_number": "973-436-4714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35A WALL ST",
            "city": "OXFORD",
            "state": "NJ",
            "postal_code": "078636616",
            "telephone_number": "973-436-4704",
            "fax_number": "973-436-4714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR CORNERS COMMUNITY SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FOUR CORNERS COMMUNITY SERVICES LLC",
        "enumeration_date": "2021-03-22",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "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": "973-436-4704",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fccsnj@outlook.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "35A Wall St",
            "city": "Oxford",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "078636616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Excel Day Habilitation Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oxford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; 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.