FOUR COUNTY HEALTH CARE, LLC (NPI# 1114056934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114056934 |
| Entity Type | Organization |
| Organization Name | FOUR COUNTY HEALTH CARE, LLC |
| Other Organization Name | FOUR COUNTY HEALTH CARE |
| Practice Address |
99 Overby Dr Richland GA 31825-1322 |
| Mailing Address |
Po Box 339 Richland GA 31825-0339 |
| Practice Telephone | 2298872021 |
| Practice Fax Number | 2298873978 |
| Mailing Telephone | 2298872021 |
| Mailing Fax Number | 2298873978 |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KIM SHEFFIELD (VP OF FINANCIAL REPORTING) |
| Authorized Official Telephone | 4786212100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
1-128-1712 | GA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Four County health Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235268053 | Four County Health Care, LLC | Respite Care | 99 Overby Dr, Richland, GA 31825-1322 | 2007-03-05 |
| Street Address |
99 OVERBY DR |
| City | RICHLAND |
| State | GA |
| Zip Code | 31825-1322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235268053 | Four County Health Care, LLC | Respite Care | 99 Overby Dr, Richland, GA 31825-1322 | 2007-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124229307 | Careconnect Health, Inc. | Clinic/Center | 510 Alston St Ste A, Richland, GA 31825 | 2007-05-29 |
| 1023161577 | New Horizons Csb Redhill Adult Group | Counselor | Route 2 Box 626, Richland, GA 31825 | 2007-01-19 |
| 1689723348 | Ladona Marie Hunter | Pharmacist | 310 Alston St., Richland, GA 31825 | 2007-01-10 |
| 1063436624 | Careconnect Health, Inc. | Clinic/Center | 510 Alston St Ste B, Richland, GA 31825 | 2006-07-27 |
| 1225181779 | New Horizons Csb Stewart County C & A | Counselor | 504 Depot St, Richland, GA 31825-1015 | 2007-01-19 |
| 1811935356 | Four County Health Care LLC | Skilled Nursing Facility | 124 Overby Dr, Richland, GA 31825-1300 | 2006-06-04 |
| 1295867752 | Integrity Rehabilitation, Inc | Physical Therapist | 297 Alston St, Richland, GA 31825-1403 | 2007-03-11 |
| 1144354150 | Lee Christopher Boyd | Physical Therapy Assistant | 297 Alston St, Richland, GA 31825-1403 | 2007-03-15 |
| 1336138841 | Jacqueline J Burkes | Physician Assistant | 220 Alston St, Richland, GA 31825-1404 | 2005-10-18 |
| 1205364783 | Rebecca Shepherd Ohearn | Nurse Practitioner | 220 Alston St, Richland, GA 31825-1404 | 2017-05-30 |
| Find all providers in zip 31825 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
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| 1356962443 | Southern Hospitality Adult Day Health Agency LLC | Clinic/Center | 3349 Northside Dr W, Statesboro, GA 30458-2178 | 2020-04-30 |
| 1497383038 | Sheryl Dornblaser | Clinic/Center | 1180 Mckendree Church Rd Ste 107, Lawrenceville, GA 30043-5207 | 2020-03-30 |
| 1720616386 | Rainbow Senior Care Home Inc | Clinic/Center | 4405 International Blvd Ste B101, Norcross, GA 30093-3013 | 2020-03-30 |
| 1932733201 | Perfect Care, Inc | Clinic/Center | 114 Sullivan Dr, Americus, GA 31709-5534 | 2020-02-26 |
| 1710524483 | Norman Graham | Clinic/Center | 125 Marquis Dr, Fayetteville, GA 30214-1566 | 2019-12-02 |
| 1548802937 | Serenity Adult Day Health, Inc | Clinic/Center | 95 Truman Rd, Hawkinsville, GA 31036-4643 | 2019-10-17 |
| 1134778749 | Marietta Seniors Club LLC | Clinic/Center | 748 Lawrence St Ne, Marietta, GA 30060-2144 | 2019-09-06 |
| 1629626445 | Wholecare Wellness LLC | Clinic/Center | 5390 Peachtree Industrial Blvd Ste 130, Norcross, GA 30071-1566 | 2019-08-27 |
| 1750936498 | Sec of Georgia Corp | Clinic/Center | 5522 New Peachtree Rd Ste 128, Atlanta, GA 30341-2544 | 2019-08-08 |
| Find all providers with the same taxonomy | ||||
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| 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.