Core Care Group Home LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

CORE CARE GROUP HOME LLC

Practice address

111 2ND Ave NE Ste 360
St Petersburg, FL 33701-3580

Phone

(772) 971-1850

NPI assigned

Aug 25, 2022

Last updated

Aug 25, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dhruv PatelNPI 1487373650

Title

President

Phone

(772) 971-1850

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dhruv Patel

  • Clinic/Center
  • St Petersburg, FL
  • NPI 1487373650
  NPD Authorized official

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

{
    "created_epoch": "1661385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661385600000",
    "number": "1508585159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 2ND AVE NE STE 360",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337013580",
            "telephone_number": "772-971-1850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 2ND AVE NE STE 360",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337013580",
            "telephone_number": "772-971-1850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE CARE GROUP HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-25",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "DHRUV",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-971-1850"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coral Reef Adult Day Care Center
• Corazon Medico LLC
• Maureen Mary Corbett, PH.D.
• Omodele Cordero
• Martha Rosa Cordoba-Fabelo, MD
• Core Metabolic Health Clinic PLLC
• Mary Antoinette Corey, ARNP
• Madison Coriarty
• John Patrick Corkery
• Caroline Theresa Cormier, APRN

• Clinic/Center in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Clinic/Center in Florida

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