Care Core Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CARE CORE SERVICES LLC

Practice address

9706 Evergreen Ave N
Brooklyn Park, MN 55443-1534

Phone

(763) 306-4430

NPI assigned

Oct 6, 2023

Last updated

Oct 6, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nour Adow

Title

Owner

Phone

(763) 306-4430

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1696550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696550400000",
    "number": "1356122279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9706 EVERGREEN AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554431534",
            "telephone_number": "763-306-4430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9706 EVERGREEN AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554431534",
            "telephone_number": "763-306-4430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE CORE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-06",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A",
        "authorized_official_last_name": "ADOW",
        "authorized_official_first_name": "NOUR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-306-4430"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Brooklyn Park, MN
• Providers in Brooklyn Park, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; 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.