Provider Demographics
NPI:1710353131
Name:FOUR K HEALTH CARE, LLC
Entity Type:Organization
Organization Name:FOUR K HEALTH CARE, LLC
Other - Org Name:BLUE STAR HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:PANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:316-258-0840
Mailing Address - Street 1:1067 FM 306 STE 401
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-6895
Mailing Address - Country:US
Mailing Address - Phone:512-387-5787
Mailing Address - Fax:800-616-9324
Practice Address - Street 1:1067 FM 306 STE 202
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-4685
Practice Address - Country:US
Practice Address - Phone:512-387-5787
Practice Address - Fax:800-616-9324
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-19
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based