Corewood Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

R3911 Issued in MD

Legal business name

COREWOOD CARE LLC

Doing business as

Corewood Homecare

Practice address

4701 Sangamore Rd Ste S225
Bethesda, MD 20816

Phone

(301) 909-8117

NPI assigned

Aug 28, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Mary C O'Donoghue, JD

Title

Director

Phone

(301) 909-8117

Specialties & licenses 1

Addresses

Other names 1

• Corewood Homecare Doing business as

Locations

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528675200000",
    "number": "1336695600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5425 WISCONSIN AVENUE",
            "address_2": "SUITE 600",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "20815",
            "telephone_number": "301-706-7675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 SANGAMORE RD STE S225",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "20816",
            "telephone_number": "301-909-8117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COREWOOD CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-28",
        "last_updated": "2018-06-11",
        "status": "A",
        "authorized_official_last_name": "O'DONOGHUE",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "301-909-8117",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MD",
            "license": "R3911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Corewood Homecare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Corewood Homecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Philip Charles Corcoran, M.D.
• Mary Theresa Cord, AU.D.
• Melanie Cordoro, CRNP
• Justin Cain Cordova, MD
• Diana Coreas
• Carrie Beth Corey, LAC., ATC, CMT
• Rebecca L Corlett, DPT
• Shamille V Corley
• Sabine Cornelius, MSW, LICSW
• Cornerstone Montgomery, Inc.

• In Home Supportive Care Agency in Bethesda, MD
• Providers in Bethesda, MD by specialty
• In Home Supportive Care Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2018; 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.