NPIMap

Organization Active NPI

Healthcore Resource Inc

  • Community/Behavioral Health Agency
  • Greenville, SC
National Provider Identifier
1477950723
Registry record updated Dec 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
HEALTHCORE RESOURCE INC
Practice address
716 E Fairfield Rd
Suite 102
Greenville, SC 29605-3609
Phone
(704) 577-2139
Fax
(919) 872-1170
NPI assigned
Dec 2, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2014

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

Authorized official

Name
Fashenda Little-Gerald
Title
Operations Manager
Phone
(704) 577-2139

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

716 E Fairfield Rd
Suite 102
Greenville, SC 29605-3609

Mailing address

1001 Navaho Dr
Suite 101
Raleigh, NC 27609-7335
Phone (704) 577-2139

Other identifiers 1

IdentifierTypeStateIssuer
8301768HMedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Healthcore Reaource37 organizations share this tax ID, including this one

Other organizations with this tax ID 36

Organizations that report the same tax identification number in the National Provider Directory.

View all 36

Locations

716 E Fairfield Rd
Ste 102
Greenville, SC 29605

NPI Registry JSON

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

{
    "created_epoch": "1417478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417478400000",
    "number": "1477950723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 NAVAHO DR",
            "address_2": "SUITE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097335",
            "telephone_number": "704-577-2139",
            "fax_number": "919-872-1170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 E FAIRFIELD RD",
            "address_2": "SUITE 102",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296053609",
            "telephone_number": "704-577-2139",
            "fax_number": "919-872-1170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHCORE RESOURCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-02",
        "last_updated": "2014-12-02",
        "status": "A",
        "authorized_official_last_name": "LITTLE-GERALD",
        "authorized_official_first_name": "FASHENDA",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "704-577-2139"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301768H",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2014; 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.