Core Oahu LLC

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

CORE OAHU LLC

Practice address

1130 N Nimitz Hwy
Honolulu, HI 96817-4579

Phone

(718) 791-3460

NPI assigned

Feb 25, 2022

Organization subpart

No

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

Authorized official

Name

Jack Brown

Title

Ceo

Phone

(718) 791-3460

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1645747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645747200000",
    "number": "1366198640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 N NIMITZ HWY",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968174579",
            "telephone_number": "718-791-3460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 N NIMITZ HWY",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968174579",
            "telephone_number": "718-791-3460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE OAHU LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-25",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-791-3460"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Antonio Borromeo Cordero, M.D.
• Allyson Cordoni, ARNP
• Adriana Cordova, BA
• Michal Cordova
• Viviana Cordova
• Core Sports Honolulu LLC
• Corinne Chan-Nishina, M.D. Inc.
• Genelle Kay Corkery, DPT
• Suerte Corla
• Jill Corleone, RD

• Case Manager/Care Coordinator in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Case Manager/Care Coordinator in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; 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.