FIVIC SUPPORT SERVICES
NPI 1164132148
Home Health in Belleville, NJ

Active since November 30, 2022
209 PASSAIC AVE, BELLEVILLE, NJ 07109(973) 392-0430 Get Directions Write a Review

NPPES record last updated: November 30, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Fivic Support Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FIVIC SUPPORT SERVICES (NPI 1164132148), doing business as Four Corners Community Services, is a healthcare organization registered as a home health in Belleville, New Jersey and active in the NPI registry since November 2022. The organization lists Ama J Baffoe, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1164132148
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameFIVIC SUPPORT SERVICES
Location Address209 PASSAIC AVEBelleville, NJ 07109-1960
Mailing Address209 Passaic AveBelleville, NJ 07109-1960 · (973) 392-0430
Organization SubpartNo
Authorized OfficialAma J BaffoeExecutive Director · (973) 392-0430
Enumeration DateNovember 30, 2022
NPPES CertifiedNovember 24, 2022
NPI 1164132148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

Also ListedIn Home Supportive CareTaxonomy 253Z00000X
Also ListedClinic/Center · Adult Day CareTaxonomy 261QA0600X
Also ListedClinic/Center · Community HealthTaxonomy 261QC1500X
Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X
Also ListedClinic/Center · Physical TherapyTaxonomy 261QP2000X
Also ListedRespite CareTaxonomy 385H00000X
209 PASSAIC AVE, Belleville, NJ 07109

Other Names 1

Doing Business AsFour Corners Community Services

Other Identifiers 1

Medicaid1946NJ

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
209 PASSAIC AVE
BELLEVILLE, NJ 07109

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164132148, enumerated as an "organization" on November 30, 2022.

The provider is located at 209 PASSAIC AVE BELLEVILLE, NJ 07109 and the phone number is (973) 392-0430.

Home Health with taxonomy code 251E00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.