Organization
4 CORNERS RESIDENTIAL CARE, LLC
Active
Other names
4 Corners Residential Services, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
RODERIC HORTON (OWNER)
(972) 897-0548
Entity
Organization
Contact information
Practice address
3816 ACACIA TRL, THE COLONY, TX 75056-3681
(972) 897-0548
Mailing address
3816 ACACIA TRL, THE COLONY, TX 75056-3681
(972) 897-0548
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
343900000X
TRANSPORTATION SERVICES/VAN
TX
Enumeration date
01/06/2015
Last updated
05/20/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up