Provider Demographics
NPI:1649815200
Name:CORE HEALTH PARTNERS LLC
Entity type:Organization
Organization Name:CORE HEALTH PARTNERS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANGER
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:J
Authorized Official - Last Name:THEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-302-9223
Mailing Address - Street 1:750 S 5TH ST STE 100D
Mailing Address - Street 2:
Mailing Address - City:IMMOKALEE
Mailing Address - State:FL
Mailing Address - Zip Code:34142-4301
Mailing Address - Country:US
Mailing Address - Phone:239-571-9015
Mailing Address - Fax:
Practice Address - Street 1:750 S 5TH ST STE 100D
Practice Address - Street 2:
Practice Address - City:IMMOKALEE
Practice Address - State:FL
Practice Address - Zip Code:34142-4301
Practice Address - Country:US
Practice Address - Phone:239-571-9015
Practice Address - Fax:949-404-8793
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-07
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty