FOUR OAKS HOME CARE SERVICES LLC (NPI# 1003425109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003425109 |
| Entity Type | Organization |
| Organization Name | FOUR OAKS HOME CARE SERVICES LLC |
| Practice Address |
611 Summit Ave Ste 6 Greensboro NC 27405-7746 |
| Practice Telephone | 3364918231 |
| Practice Fax Number | 8778951090 |
| Mailing Telephone | 3364918231 |
| Enumeration Date | 2020-07-24 |
| Last Update Date | 2020-10-27 |
| Authorized Official Name | UCHENNA JUNIOR RICHARDS (OWNER) |
| Authorized Official Telephone | 3364918231 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | Agencies | ||
| N | 251J00000X | Nursing Care | Agencies | ||
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| Street Address |
611 SUMMIT AVE STE 6 |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27405-7746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477038727 | Miya Jackson | Behavior Technician | 2308 Golden Gate Dr, Apt G, Greensboro, NC 27405 | 2018-10-02 |
| 1821576299 | Woodrow Eric Bradley | Day Training/Habilitation Specialist | 1403 Woocbriar Ave, Greensboro, NC 27405 | 2018-07-30 |
| 1922593094 | Constance Foushee | Nurse Practitioner | 1100 E. Wendover, Greensboro, NC 27405 | 2018-06-29 |
| 1760972434 | Ayana Linette Holland | Home Health Aide | 1417 Old Hickory Dr, Greensboro, NC 27405 | 2018-05-17 |
| 1790294700 | G. Antoine Gray | Specialist | 2100 Phillips Avenue, Suite B, Greensboro, NC 27405 | 2017-09-21 |
| 1306375910 | Wendy Carisa Boger | Registered Nurse | 1100 East Wendover Avenue, Greensboro, NC 27405 | 2017-06-07 |
| 1659827715 | Changing Paths Counseling Center Pllc | Community/Behavioral Health | 1600 E Wendoer Ave., Suite C, Greensboro, NC 27405 | 2016-08-29 |
| 1295187896 | Amanda Kirby Counseling, PC | Counselor | 1175 Revolution Mill Drive, Suite 29-2, Greensboro, NC 27405 | 2016-07-07 |
| 1780049429 | Pta | Residential Treatment Facility, Physical Disabilities | 1900 Sheldon Road, Greensboro, NC 27405 | 2015-12-23 |
| 1841655644 | Amaya Nicole Hardy | Counselor | 1600r E Wendover Ave Ste R, Greensboro, NC 27405 | 2015-12-21 |
| Find all providers in zip 27405 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083223358 | A Johnson Sparkle LLC | In Home Supportive Care | 2305 Cottage Pl, Greensboro, NC 27455-2910 | 2020-07-23 |
| 1659980977 | R&l Dedicated Home Care LLC | In Home Supportive Care | 3987 Orchard Knoll Dr, Greensboro, NC 27405-8507 | 2020-07-23 |
| 1669095014 | Well-spring Home Care LLC | In Home Supportive Care | 3859 Battleground Avenue, Suite 301, Greensboro, NC 27410 | 2020-05-20 |
| 1013544782 | Williams Family Veteran Care Society | In Home Supportive Care | 3902 Woodberry Lake Dr, Greensboro, NC 27455-0944 | 2020-03-24 |
| 1023649209 | Divine Intervention Home Care | In Home Supportive Care | 717 Green Valley Rd Ste 205, Greensboro, NC 27408-2155 | 2020-01-28 |
| 1699337105 | Rescuing Hands Home Care | In Home Supportive Care | 907 Shelby Dr Apt F, Greensboro, NC 27409-2240 | 2019-07-03 |
| 1295298636 | Amber J Cohen | In Home Supportive Care | 17 Meadow Crossing Ct, Greensboro, NC 27410-9734 | 2019-04-11 |
| 1710484126 | Southeast Home Care, LLC | In Home Supportive Care | 437 W Friendly Ave Ste 111, Greensboro, NC 27401-2234 | 2018-04-11 |
| 1700387297 | Intellichoice Staffing LLC | In Home Supportive Care | 5 Dundas Cir Ste F, Greensboro, NC 27407-1638 | 2018-02-21 |
| 1265930523 | Peace Zone Home Care, Inc | In Home Supportive Care | 4925 W Market St Ste 1113, Greensboro, NC 27407-1566 | 2018-01-31 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27405 |
Please comment or provide details below to improve the information on FOUR OAKS HOME CARE SERVICES LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.