Active NPI
Core Healthcare US
- Community Based Hospice Care Agency
- Anaheim, CA
National Provider Identifier
1124698121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- CORE HEALTHCARE US
- Practice address
- 155 N Riverview Dr Ste 104
Anaheim, CA 92808-1225 - Phone
- (310) 808-3410
- NPI assigned
- Jun 30, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James Vandebrake
- Title
- Owner
- Phone
- (888) 354-6993
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
155 N Riverview Dr Ste 104
Anaheim, CA 92808-1225
Mailing address
155 N Riverview Dr Ste 104
Anaheim, CA 92808-1225
National Provider Directory
National Provider Directory- Tax ID family
- Core Healthcare US
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Anaheim, CA
- NPI 1518608769
Locations
155 N Riverview Dr
Anaheim, CA 92808
Phone (714) 422-5773
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625011200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1628467200000",
"number": "1124698121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 N RIVERVIEW DR STE 104",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928081225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 N RIVERVIEW DR STE 104",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928081225",
"telephone_number": "310-808-3410"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORE HEALTHCARE US",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-30",
"last_updated": "2021-08-09",
"certification_date": "2021-07-28",
"status": "A",
"authorized_official_last_name": "VANDEBRAKE",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "888-354-6993"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.