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FOUR CORNER NPI 1720626583


NPI Information

NPI: 1720626583
Provider Name: FOUR CORNER

Doing Business As: FOUR CORNER

Classification: Home Health - 251E00000X
Entity Type: Organization
Address:
4274 N BLACKSTONE AVE STE 103
FRESNO, CA
ZIP 93726
Phone: (800) 666-5323
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FOUR CORNER is a home health in Fresno, CA. The provider is a public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. FOUR CORNER NPI is 1720626583. The provider is registered as an organization entity type.
The provider Is Doing Business As Four Corner.

The provider's business location address is:

4274 N BLACKSTONE AVE STE 103
FRESNO, CA
ZIP 93726-900
Phone: (800) 666-5323

The provider's authorized official is Cashmir Luke .
The authorized official title is Managing Partner and has the following contact phone number (925) 759-2436.

The enumeration date for this NPI number is 12/11/2019 and was last updated on 7/22/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentNo
2291U00000XClinical Medical LaboratoryNo
3332B00000XDurable Medical Equipment & Medical SuppliesNo
4385H00000XRespite CareNo
5385HR2060XRespite CareRespite Care, Intellectual and/or Developmental DisabilitiesNo
6251G00000XHospice Care, Community BasedNo
7251J00000XNursing CareNo
8253Z00000XIn Home Supportive CareNo
9251S00000XCommunity/Behavioral HealthNo
10251E00000XHome HealthYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.