Cordova Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

CORDOVA CARE LLC

Practice address

2122 Wallace St
Philadelphia, PA 19130-3105

Phone

(267) 808-1970

NPI assigned

Sep 8, 2022

Organization subpart

No

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

Authorized official

Name

Bei Ou

Title

President/Treasurer

Phone

(267) 808-1970

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1662595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662595200000",
    "number": "1144941006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 WALLACE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191303105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2122 WALLACE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191303105",
            "telephone_number": "267-808-1970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORDOVA CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-08",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A",
        "authorized_official_last_name": "OU",
        "authorized_official_first_name": "BEI",
        "authorized_official_title_or_position": "PRESIDENT/TREASURER",
        "authorized_official_telephone_number": "267-808-1970"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Cristina Cordero-Ricardo, D.M.D
• David Cordero, DMD
• Candace Cordial, MFT
• Cordiality Home Services LLC
• Anthony John Cordisco
• Francis Cordova, MD
• Daniel Peter Cordua, MFT, LMT
• Core Community Services LLC
• Core Performance and Rehabilitation
• Core Performance Physicians

• In Home Supportive Care Agency in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• In Home Supportive Care Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; 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.