Organization Active NPI

Core Health Centers of Middletown LLC

  • Chiropractor
  • Louisville, KY
National Provider Identifier
1003510587
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CORE HEALTH CENTERS OF MIDDLETOWN LLC
Practice address
727 Speckman Rd
Louisville, KY 40243-1876
Phone
(606) 831-4432
Fax
(502) 205-2004
NPI assigned
Mar 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jeremiah Holmes, DCNPI 1689771081
Title
Owner - DC
Phone
(859) 203-5100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

727 Speckman Rd
Louisville, KY 40243-1876

Mailing address

727 Speckman Rd
Louisville, KY 40243-1876
Phone (606) 831-4432

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230502003176 KY Part B Supplier - Clinic/Group Practice 5890150585 Receives reassigned benefits from 5 practitioners
Practice locations: Louisville, KY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1679961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709769600000",
    "number": "1003510587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 SPECKMAN RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402431876",
            "telephone_number": "606-831-4432",
            "fax_number": "502-205-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 SPECKMAN RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402431876",
            "telephone_number": "606-831-4432",
            "fax_number": "502-205-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE HEALTH CENTERS OF MIDDLETOWN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-28",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "JEREMIAH",
        "authorized_official_title_or_position": "OWNER - DC",
        "authorized_official_telephone_number": "859-203-5100",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.