FOUR CORNER (NPI# 1720626583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720626583 |
| Entity Type | Organization |
| Organization Name | FOUR CORNER |
| Other Organization Name | FOUR CORNER |
| Practice Address |
1310 E Olive Ave Fresno CA 93728-3610 |
| Mailing Address |
Po Box 690311 Stockton CA 95269-0311 |
| Practice Telephone | 8006665323 |
| Mailing Telephone | 4159332264 |
| Enumeration Date | 2019-12-11 |
| Last Update Date | 2020-04-16 |
| Authorized Official Name | DR. CASHMIR LUKE (MANAGING PARTNER) |
| Authorized Official Telephone | 9257592436 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | Agencies | ||
| N | 251G00000X | Hospice Care, Community Based | Agencies | ||
| N | 251J00000X | Nursing Care | Agencies | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities | ||
| N | 291U00000X | Clinical Medical Laboratory | Laboratories | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 385H00000X | Respite Care | Respite Care Facility | ||
| N | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
Respite Care Facility | ||
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| Other Name | Type Code |
|---|---|
| 4Corners | Doing Business As Name - Organization |
| Four Corner | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316563992 | Four Corner | Durable Medical Equipment & Medical Supplies | 1310 E Olive Ave, Fresno, CA 93728-3610 | 2020-06-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | FOUR CORNER CAPITAL LLC | 3839 Flatlands Avenue, Suite 201, Brooklyn, Ny 11234 |
| Colorado Business Entities | Four Corner Coalition | 9915 Uravan St., Commerce City, CO 80022 |
| Colorado Business Entities | FOUR CORNER COATINGS, LLC. | 65891 Solar Rd, Montrose, CO 81402 |
| Colorado Business Entities | Four Corner Contracting, Inc. | 28015 Smyth Dr., Valencia, CA 91355 |
| Iowa Business Entities | FOUR CORNER FARM LLC | 1793 320th St, Brayton, IA 50042 |
| Colorado Business Entities | Four Corner Farms, LLC | 1112 North Jackson Street, Golden, CO 80403 |
| New York State Corporations | FOUR CORNER FLOORING INC. | 118-55 233 St, Cambria Heights, Ny 11411 |
| Washington State Corporations | FOUR CORNER FOUNDATIONS LLC | 802 W Rosewood Ave, Spokane, WA 99208-4142 |
| Colorado Business Entities | Four Corner Genetics, LLC | 817 17th Street, 9008, Denver, CO 80202 |
| New York State Corporations | FOUR CORNER GREEN CONTRACTING LLC | 3836 Bailey Ave, Bronx, Ny 10463 |
| Street Address |
1310 E OLIVE AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93728-3610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497993901 | Cashmir Luke | Pharmacist | 1310 E Olive Ave, Fresno, CA 93728-3610 | 2009-01-22 |
| 1316563992 | Four Corner | Durable Medical Equipment & Medical Supplies | 1310 E Olive Ave, Fresno, CA 93728-3610 | 2020-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356994909 | Joaquin Sanchez | Counselor | Quest House 2731 W Olive Ave, Fresno, CA 93728 | 2019-07-23 |
| 1750873717 | Focus Forward | Case Management | 732 N. Van Ness Ave, Fresno, CA 93728 | 2018-06-05 |
| 1811167927 | Rita Elizabeth Stevenson | Counselor | 1027 N Van Ness Ave, Fresno, CA 93728 | 2008-03-04 |
| 1578784153 | Ann B. White | Psychologist | 938 N. Van Ness Avenue, Fresno, CA 93728 | 2007-05-01 |
| 1891912283 | B & B Management Inc. | Dentist | 1215 N. Del Mar Ave., Fresno, CA 93728 | 2007-04-19 |
| 1285858696 | Geoffrey Landon Smith | Marriage & Family Therapist | 1055 N. Van Ness, Suite I, Fresno, CA 93728 | 2007-04-13 |
| 1225152077 | Melva Robinson | Licensed Vocational Nurse | 539 N Van Ness, Fresno, CA 93728 | 2007-03-19 |
| 1508902131 | Lauro Samson So | Dentist | 1436 E Olive Ave, Fresno, CA 93728 | 2007-01-30 |
| 1922467083 | Karie Jean Follis | Licensed Vocational Nurse | 539 N Van Ness Ave, Fresno, CA 93728 | 2016-02-17 |
| 1013216969 | Elena Soza | Counselor | 2731 W Olive Ave, Fresno, CA 93728 | 2011-03-17 |
| Find all providers in zip 93728 | ||||
| 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 |
|---|---|---|---|---|
| 1326653445 | Renewed Hope Housing, LLC | In Home Supportive Care | 3123 Village Pond Ln, Fresno, TX 77545-8779 | 2020-09-15 |
| 1306490594 | Hearts and Hands Personal Care LLC | In Home Supportive Care | 4835 Richmond Knoll Ln, Fresno, TX 77545-7991 | 2019-07-26 |
| 1699337444 | Good Cheer Home Care, LLC | In Home Supportive Care | 2631 Crisp Apple Way, Fresno, TX 77545-1495 | 2019-07-02 |
| 1972164374 | At Ease Personal Home Care and Errand Service LLC | In Home Supportive Care | 1031 N Magnolia Dale Dr, Fresno, TX 77545-8670 | 2019-06-26 |
| 1891253050 | Lenity Solutions, LLC | In Home Supportive Care | 1901 Fulton St Ste 102, Fresno, CA 93721-1089 | 2019-03-06 |
| 1689131922 | Angeline Home Care Services, Inc. | In Home Supportive Care | 1305 W Bullard Ave Ste 3, Fresno, CA 93711-2469 | 2019-02-22 |
| 1306310818 | Sona Homecare | In Home Supportive Care | 2350 W Shaw Ave Ste 129, Fresno, CA 93711-3400 | 2019-01-17 |
| 1255814489 | Miracle Healthcare LLC | In Home Supportive Care | 1823 Seville Mnr, Fresno, TX 77545-2138 | 2018-09-13 |
| 1689154874 | Valley Medical Systems, Inc. | In Home Supportive Care | 3030 N Maroa Ave Ste 202, Fresno, CA 93704-5645 | 2018-08-16 |
| 1558856963 | Care Pro, Inc. | In Home Supportive Care | 401 W Fallbrook Ave Ste 108, Fresno, CA 93711-5834 | 2018-06-27 |
| Find all providers in FRESNO | ||||
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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.