FOUR CORNERS AFC LLC NPI 1487578670

NPI Information

  • NPI: 1487578670
  • Provider Name: FOUR CORNERS AFC LLC
  • Classification: Foster Care Agency - 253J00000X
  • Entity Type: Organization
  • Address: 1372 GRACE DR
    EAGAN, MN
    ZIP 55123
  • Phone: (952) 220-5574

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NPI Details

FOUR CORNERS AFC LLC is a foster care agency in Eagan, MN. The provider is a Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as 24-hour substitute care for children outside their own homes. Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes. FOUR CORNERS AFC LLC NPI is 1487578670. The provider is registered as an organization entity type.

The provider's business location address is:

1372 GRACE DR
EAGAN, MN
ZIP 55123-971
Phone: (952) 220-5574

The provider's authorized official is Madhavi Pasupuleti .
The authorized official title is President / Owner and has the following contact phone number (952) 220-5574.

The enumeration date for this NPI number is 8/10/2026 and was last updated on 8/10/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1253J00000XFoster Care AgencyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1A329138100MEDICAIDMINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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