Provider Demographics
NPI:1841957313
Name:4 REASONS
Entity type:Organization
Organization Name:4 REASONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE
Authorized Official - Prefix:
Authorized Official - First Name:TAI
Authorized Official - Middle Name:
Authorized Official - Last Name:LENNIX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:985-210-5738
Mailing Address - Street 1:4111 BRIDLEDON LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77014-1815
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4111 BRIDLEDON LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77014-1815
Practice Address - Country:US
Practice Address - Phone:985-210-5737
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-19
Last Update Date:2021-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility