Organization Active NPI

Corevitacare, Inc.

  • Case Management Agency
  • Calabasas, CA
National Provider Identifier
1356714034
Registry record updated Nov 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
C3835333 Issued in CA
Legal business name
COREVITACARE, INC.
Practice address
5173 Douglas Fir Rd
Calabasas, CA 91302-1461
Phone
(888) 808-0211
Fax
(888) 808-0311
NPI assigned
Nov 3, 2015
Last updated
Nov 3, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2015

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

Authorized official

Name
Ms. Beloria Fink
Title
President
Phone
(888) 808-0211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X C3835333 CA Primary

Addresses

Primary practice location

5173 Douglas Fir Rd
Calabasas, CA 91302-1461

Mailing address

5173 Douglas Fir Rd
Calabasas, CA 91302-1461
Phone (888) 808-0211

Other identifiers 1

IdentifierTypeStateIssuer
00C518040MedicaidCA

National Provider Directory

National Provider Directory

Locations

5173 Douglas Fir Rd
Calabasas, CA 91302
Phone (888) 808-0211

NPI Registry JSON

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

{
    "created_epoch": "1446508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446508800000",
    "number": "1356714034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5173 DOUGLAS FIR RD",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021461",
            "telephone_number": "888-808-0211",
            "fax_number": "888-808-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5173 DOUGLAS FIR RD",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021461",
            "telephone_number": "888-808-0211",
            "fax_number": "888-808-0311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COREVITACARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-03",
        "last_updated": "2015-11-03",
        "status": "A",
        "authorized_official_last_name": "FINK",
        "authorized_official_first_name": "BELORIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "888-808-0211",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "CA",
            "license": "C3835333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C518040",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Calabasas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.