Provider Demographics
NPI:1265220016
Name:CORE HEALTH ESSENTIALS LLC
Entity type:Organization
Organization Name:CORE HEALTH ESSENTIALS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:COREY
Authorized Official - Middle Name:LAMAR
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-710-0128
Mailing Address - Street 1:929 N SPRING AVE STE C7
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63108-3629
Mailing Address - Country:US
Mailing Address - Phone:314-710-0128
Mailing Address - Fax:
Practice Address - Street 1:929 N SPRING AVE STE C7
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63108-3629
Practice Address - Country:US
Practice Address - Phone:314-710-0128
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-30
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health