Provider Demographics
NPI:1265681985
Name:HEALTH CORE ALLIANCE LLC
Entity Type:Organization
Organization Name:HEALTH CORE ALLIANCE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:MATTHEW
Authorized Official - Last Name:UMONTUEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-397-1752
Mailing Address - Street 1:3200 W END AVE STE 500
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-1322
Mailing Address - Country:US
Mailing Address - Phone:615-289-9866
Mailing Address - Fax:
Practice Address - Street 1:3200 W END AVE STE 500
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1322
Practice Address - Country:US
Practice Address - Phone:615-298-9866
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-17
Last Update Date:2008-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1000000003277251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health