Provider Demographics
NPI:1316664725
Name:4 PLUS 1 ENTERPRISES, LLC
Entity type:Organization
Organization Name:4 PLUS 1 ENTERPRISES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:JASMINE
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:HUTCHINSON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:424-204-3403
Mailing Address - Street 1:1710 TIMBERLINE TRCE
Mailing Address - Street 2:
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30078-6675
Mailing Address - Country:US
Mailing Address - Phone:424-204-3403
Mailing Address - Fax:
Practice Address - Street 1:2175 HIGHPOINT RD STE 113
Practice Address - Street 2:
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30078-3188
Practice Address - Country:US
Practice Address - Phone:678-373-6097
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-26
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome HealthGroup - Multi-Specialty
No291U00000XLaboratoriesClinical Medical Laboratory
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies