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FOUR SEASONS HEALTHCARE CENTER INC
NPI 1861470429
Skilled Nursing Facility in Forman, ND

Active since January 04, 2006CLIA 35D0408195 · Waiver
2/5
Overall Rating
483 4TH ST SW, FORMAN, ND 58032(701) 724-6211(701) 724-3060 Get Directions Write a Review

NPPES record last updated: October 15, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Four Seasons Healthcare Center Inc NPPES

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

FOUR SEASONS HEALTHCARE CENTER INC (NPI 1861470429) is a healthcare organization registered as a skilled nursing facility in Forman, North Dakota and active in the NPI registry since January 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Dede Cookson, Administrator, as its authorized official.

NPPES Registry Identity

NPI1861470429
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameFOUR SEASONS HEALTHCARE CENTER INC
Location Address483 4TH ST SWForman, ND 58032-4210
Mailing Address483 4th St SwForman, ND 58032-4210 · (701) 724-6211 · Fax (701) 724-3060
Phone(701) 724-6211
Fax(701) 724-3060
Organization SubpartNo
Authorized OfficialDede CooksonAdministrator · (701) 724-6211
Enumeration DateJanuary 4, 2006
Last NPPES UpdateOctober 15, 2007
✔ NPI 1861470429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License✔ Licensed in ND · 1075B
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Also ListedNursing Facility/Intermediate Care FacilityTaxonomy 313M00000X · License 8070A (ND)
483 4TH ST SW, Forman, ND 58032
Open in Google Maps ↗

Other Identifiers 3

Medicaid30406ND
Medicare OSCAR/certification355103ND
Other30762Basic Care

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 35D0408195

Four Seasons Healthcare Center Inc · Forman, ND
Active · expires Aug 31, 2026
CLIA Number35D0408195
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDr. Rup K. Nagala
Laboratory Phone(701) 724-6211
Laboratory LocationFour Seasons Healthcare Center Inc483 4th St SW, Forman, ND 58032
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Four Seasons Health Care Inc (CMS certification number 355103), from CMS Care Compare.

Four Seasons Health Care Inc

Nursing home · Forman, ND
2/5 CMS Overall Rating
OwnershipNon profit - Corporation
CMS Certification Number355103
Certified Beds33 beds29 residents per day on average
Medicare & Medicaid Participant SinceMay 1, 1991
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
3/5
Long-Stay Quality
Quality of care delivered to long-term residents.
3/5
Staffing
Based on nursing staff hours relative to resident needs.
4/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
51.33
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.34 · LPN 0.26 · RN 1.08
3.68 hrs per resident per day
Weekend Nurse Staffing
2.68 hrs per resident per day
Physical Therapist Staffing
0.01 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
45.5%
Registered Nurse Turnover
28.6%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
3
Fines
4 totaling $76,731.75
Medicare Payment Denials
0
Total Penalties
4
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Four Seasons Healthcare Center Inc's NPI number?

The NPI number for Four Seasons Healthcare Center Inc is 1861470429. It was assigned to this organization in the NPPES registry on January 4, 2006.

Where is Four Seasons Healthcare Center Inc located?

Four Seasons Healthcare Center Inc is located at 483 4th St SW, Forman, ND 58032. The listed phone number is (701) 724-6211.

What is Four Seasons Healthcare Center Inc's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Four Seasons Healthcare Center Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 35D0408195) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Four Seasons Healthcare Center Inc a Medicare-certified nursing home?

Yes. Four Seasons Health Care Inc is a Medicare-certified nursing home with 33 certified beds.

What quality rating does Four Seasons Healthcare Center Inc have?

CMS rates Four Seasons Health Care Inc 2 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Four Seasons Healthcare Center Inc was last updated on October 15, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.