Organization Active NPI

Core Support Inc

  • In Home Supportive Care Agency
  • Cutler Bay, FL
National Provider Identifier
1528376803
Registry record updated Sep 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
229911 Issued in FL
Legal business name
CORE SUPPORT INC
Practice address
9045 SW 213TH St
Cutler Bay, FL 33189-3831
Phone
(305) 989-1483
NPI assigned
Sep 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2010

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

Authorized official

Name
Mr. Corey Marshall
Title
Ceo
Phone
(305) 989-1483

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 229911 FL Primary

Addresses

Primary practice location

9045 SW 213TH St
Cutler Bay, FL 33189-3831

Mailing address

17400 SW 97TH Ave Ste 115
Palmetto Bay, FL 33157-5420

Other identifiers 2

IdentifierTypeStateIssuer
686665498MedicaidFL
686665496MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1284940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285804800000",
    "number": "1528376803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17400 SW 97TH AVE STE 115",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331575420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9045 SW 213TH ST",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331893831",
            "telephone_number": "305-989-1483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE SUPPORT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-20",
        "last_updated": "2010-09-30",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "COREY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-989-1483",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "229911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "686665498",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "686665496",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cutler Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; 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.