FOURSEE '4C' – NPI #1770007908
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

Health Care Provider Taxonomy Code for Residential Treatment Facility, Intellectual and/or Developmental Disabilities

FOURSEE '4C' is a residential treatment facility located in BOLEY, OK. NPPES has assigned the NPI number 1770007908 to FOURSEE '4C' on July 30, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “FOURSEE '4C'” is a dba name, the actual legal business name for this organization is REST HAVEN MANAGEMENT INC. FOURSEE '4C'. This provider is also associated with 2 additional names listed below. The primary taxonomy selected by this provider is 320600000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

The NPI profile was previously updated about 4 years ago on Jul 21, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FOURSEE '4C' below.

NPI Profile for
REST HAVEN MANAGEMENT INC. FOURSEE '4C'

NPI Number
1770007908
Enumeration Date

(about 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
REST HAVEN MANAGEMENT INC. FOURSEE '4C'
Doing Business As (dba): FOURSEE '4C'
Other name(s)
All associated names:
Doing Business As (dba)
FOURSEE '4C'
Doing Business As (dba)
Rest Haven Management Inc.
Primary location
368015 OLD HIGHWAY 62
BOLEY, OK 74829-2914
Phone: (918) 667-3372 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ENETRICE MYERS
EXECUTOR/BUSINESS OPERATION MANAGER
Phone: (317) 919-2923
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320600000X
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)		 OK

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.