Provider Demographics
NPI:1477508554
Name:CORE CARE TECHNOLOGIES, INC.
Entity Type:Organization
Organization Name:CORE CARE TECHNOLOGIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:J
Authorized Official - Last Name:MANNO
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN, MSA
Authorized Official - Phone:856-629-0400
Mailing Address - Street 1:136 HURFFVILLE CROSSKEYS RD
Mailing Address - Street 2:
Mailing Address - City:SEWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:08080-3822
Mailing Address - Country:US
Mailing Address - Phone:856-629-0400
Mailing Address - Fax:856-629-8441
Practice Address - Street 1:136 HURFFVILLE CROSSKEYS RD
Practice Address - Street 2:
Practice Address - City:SEWELL
Practice Address - State:NJ
Practice Address - Zip Code:08080-3822
Practice Address - Country:US
Practice Address - Phone:856-629-0400
Practice Address - Fax:856-629-8441
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-24
Last Update Date:2020-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8547505Medicaid
NJ8547505Medicaid