Healthcore Resource, Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

HEALTHCORE RESOURCE, INC.

Doing business as

HealthCore Adolescent Residential Treatment IV

Practice address

7625 Mine Valley Rd
Raleigh, NC 27615-6017

Phone

(919) 872-1178

Fax

(800) 879-8149

NPI assigned

May 21, 2014

Organization subpart

No

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

Authorized official

Name

Ijeoma E Nwaeze

Title

Ceo

Phone

(919) 872-1178

Specialties & licenses 1

Addresses

Other names 1

• HealthCore Adolescent Residential Treatment IV Doing business as

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

{
    "created_epoch": "1400630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420761600000",
    "number": "1225440647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 NAVAHO DR",
            "address_2": "SUITE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097335",
            "telephone_number": "919-872-1178",
            "fax_number": "919-872-1170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7625 MINE VALLEY RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276156017",
            "telephone_number": "919-872-1178",
            "fax_number": "800-879-8149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHCORE RESOURCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-21",
        "last_updated": "2015-01-09",
        "status": "A",
        "authorized_official_last_name": "NWAEZE",
        "authorized_official_first_name": "IJEOMA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-872-1178"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthCore Adolescent Residential Treatment IV",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Healthcore Resource Inc
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• Healthcore Resource, Inc
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• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2015; 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.