Provider Demographics
NPI:1700277670
Name:COR HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:COR HEALTH SERVICES LLC
Other - Org Name:HOME HEALTH CARE SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:J. RYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KELLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-425-8344
Mailing Address - Street 1:999 FOREST AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04103-3366
Mailing Address - Country:US
Mailing Address - Phone:207-831-8885
Mailing Address - Fax:
Practice Address - Street 1:999 FOREST AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04103-3366
Practice Address - Country:US
Practice Address - Phone:207-831-8885
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-12
Last Update Date:2015-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health