Corecare, LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

011418 Issued in TX

Legal business name

CORECARE, LLC

Practice address

1120 South Fwy
Suite 209
Fort Worth, TX 76104-5064

Phone

(817) 877-1616

Fax

(817) 334-7994

NPI assigned

Feb 8, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Frederick Earl Kimble

Title

Owner / Ceo

Phone

(817) 877-1616

Specialties & licenses 1

Addresses

Other names 1

• Visiting Angels Doing business as

Locations

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

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305244800000",
    "number": "1063690212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 SOUTH FWY",
            "address_2": "SUITE 209",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761045064",
            "telephone_number": "817-877-1616",
            "fax_number": "817-334-7994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 SOUTH FWY",
            "address_2": "SUITE 209",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761045064",
            "telephone_number": "817-877-1616",
            "fax_number": "817-334-7994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-08",
        "last_updated": "2011-05-13",
        "status": "A",
        "authorized_official_last_name": "KIMBLE",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "OWNER / CEO",
        "authorized_official_telephone_number": "817-877-1616",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "TX",
            "license": "011418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visiting Angels",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Core Medical Associates PLLC
• Core Onpointe Business Solutions Inc
• Core Physical Therapy Fort Worth
• Core Rehab Associates, PLLC
• Core Rehabilitation
• Cearra Corey, DNP, APRN, AGCNS-BS
• Travis Corgan, MD
• Kristin Melynn Corkins, FNP
• Corley Care, LLC
• Amanda Ruth Corley

• Adult Care Home Facility in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Adult Care Home Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2011; 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.