# FOUR CORNERS NURSING SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FOUR CORNERS NURSING SERVICES LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1962337816
- **Legal business name:** FOUR CORNERS NURSING SERVICES LLC
- **Authorized official:** MISS NICOLA WEBB (ADMINISTRATOR)
- **Authorized official phone:** (954) 661-9741

## Contact information

- **Practice address:** 621 NW 53RD ST \# 22, BOCA RATON, FL 33487-8235
- **Practice address phone:** (561) 823-6940
- **Practice address fax:** (954) 333-6198
- **Mailing address:** 621 NW 53RD ST \# 22, BOCA RATON, FL 33487-8235
- **Mailing address phone:** (561) 823-6940
- **Mailing address fax:** (954) 333-6198

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 3747P1801X | Personal Care Attendant | — | NULL | — |
| 3747P1801X | Personal Care Attendant | — | — | — |

## Other

- **Enumeration date:** 06/15/2026
- **Last updated:** 09/05/2026
