Corelife Alabama LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CORELIFE ALABAMA LLC

Practice address

3829 Lorna Rd
Hoover, AL 35244-7034

Phone

(205) 710-2368

NPI assigned

Apr 23, 2021

Last updated

Oct 14, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kelly Sheehan

Title

Director, RCM

Phone

(443) 439-6309

Specialties & licenses 2

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1619136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634169600000",
    "number": "1043892672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 BENFIELD BLVD STE 250",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "21108",
            "telephone_number": "443-688-6909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3829 LORNA RD",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352447034",
            "telephone_number": "205-710-2368"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4500 Montevallo Rd Ste D108",
            "address_purpose": "LOCATION",
            "city": "Irondale",
            "state": "AL",
            "postal_code": "352103128",
            "country_code": "US",
            "telephone_number": "205-710-4445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CORELIFE ALABAMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-23",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A",
        "authorized_official_last_name": "SHEEHAN",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "DIRECTOR, RCM",
        "authorized_official_telephone_number": "443-439-6309"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "CRISP",
            "affiliation": "N",
            "address_1": "3829 Lorna Rd",
            "city": "Hoover",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352447034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cook's Family Eyecare, LLC (Terence Cook)
• Jacob Cooke, BCFDN-P, CHHP
• Kevin Cooper Loveridge, LMT
• Chloe Elizabeth Corbell
• Ryan Thomas Cordry, DO
• Corelife Inc
• Sydney Blair Cork, PA-C
• Quentin Leon Cornelison
• Cornerstone Dental Services, PC
• Caesar John Cortopassi, M.D.

• Family Medicine Physician in Hoover, AL
• Providers in Hoover, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.