Active NPI
Corevision Network, LLC
- Clinic/Center
- Aurora, CO
National Provider Identifier
1467846477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- COREVISION NETWORK, LLC
- Practice address
- 14201 E 4TH Ave
Building 4, Suite 110
Aurora, CO 80011-8748 - Phone
- (404) 809-7764
- NPI assigned
- Mar 27, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Nathaniel Hardage Jr.
- Title
- Owner
- Phone
- (404) 809-7764
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
14201 E 4TH Ave
Building 4, Suite 110
Aurora, CO 80011-8748
Mailing address
411 S Cascade Ave
Suite 100
Colorado Springs, CO 80903-3809
National Provider Directory
National Provider Directory- Tax ID family
- Corevision Network LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Non-emergency Medical Transport (VAN)
- Colorado Springs, CO
- NPI 1093269151
-
- Clinic/Center
- Colorado Springs, CO
- NPI 1932559606
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427414400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1465862400000",
"number": "1467846477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 S CASCADE AVE",
"address_2": "SUITE 100",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809033809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14201 E 4TH AVE",
"address_2": "BUILDING 4, SUITE 110",
"city": "AURORA",
"state": "CO",
"postal_code": "800118748",
"telephone_number": "404-809-7764"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COREVISION NETWORK, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-03-27",
"last_updated": "2016-06-14",
"status": "A",
"authorized_official_last_name": "HARDAGE",
"authorized_official_first_name": "NATHANIEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "404-809-7764",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.