Provider Demographics
NPI:1518608769
Name:CORE HEALTHCARE US
Entity Type:Organization
Organization Name:CORE HEALTHCARE US
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:VANDEBRAKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-354-6993
Mailing Address - Street 1:11631 PARKMEAD ST
Mailing Address - Street 2:
Mailing Address - City:SANTA FE SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:90670-3651
Mailing Address - Country:US
Mailing Address - Phone:310-808-3410
Mailing Address - Fax:
Practice Address - Street 1:155 N RIVERVIEW DR STE 101
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92808-1225
Practice Address - Country:US
Practice Address - Phone:310-870-1797
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-03
Last Update Date:2022-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health