Provider Demographics
NPI:1851767867
Name:CARE CORE PT,LLC
Entity Type:Organization
Organization Name:CARE CORE PT,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHIRLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:CABRERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-470-2627
Mailing Address - Street 1:10 MECHANIC ST
Mailing Address - Street 2:SUITE 150
Mailing Address - City:RED BANK
Mailing Address - State:NJ
Mailing Address - Zip Code:07701-1858
Mailing Address - Country:US
Mailing Address - Phone:732-345-7241
Mailing Address - Fax:732-345-7348
Practice Address - Street 1:10 MECHANIC ST
Practice Address - Street 2:SUITE 150
Practice Address - City:RED BANK
Practice Address - State:NJ
Practice Address - Zip Code:07701-1858
Practice Address - Country:US
Practice Address - Phone:732-345-7241
Practice Address - Fax:732-345-7348
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-13
Last Update Date:2015-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA1086600305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service