Core Recovery LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

CORE RECOVERY LLC

Practice address

34225 N 27TH Dr
BLDG. #5 Ste. #146
Phoenix, AZ 85085-6087

Phone

(602) 810-1210

NPI assigned

Jun 19, 2013

Organization subpart

No

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

Authorized official

Name

Shana Goulet

Title

Director of Operations

Phone

(602) 810-1210

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675987200000",
    "number": "1356780753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34225 N 27TH DR",
            "address_2": "BLDG. #5 STE. #146",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850856087",
            "telephone_number": "602-810-1210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34225 N 27TH DR",
            "address_2": "BLDG. #5 STE. #146",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850856087",
            "telephone_number": "602-810-1210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12691 W Smokey Dr Ste 127",
            "address_purpose": "LOCATION",
            "city": "Surprise",
            "state": "AZ",
            "postal_code": "853783801",
            "country_code": "US",
            "telephone_number": "602-810-1210",
            "fax_number": "480-247-5625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CORE RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-19",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A",
        "authorized_official_last_name": "GOULET",
        "authorized_official_first_name": "SHANA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "602-810-1210"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Cordy
• Core Health Care Inc
• Core Health Services, Inc
• Core Medical Group Inc
• Core Recovery LLC
• Amber Nicole Core, RD
• Gary J Core, DDS
• Corebella Health and Wellness LLC
• Karla Corella Velarde
• Stephanie Danielle Corella, FNP

• Substance Use Disorder Rehabilitation Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.