Active NPI
Core Support Inc
- In Home Supportive Care Agency
- Cutler Bay, FL
National Provider Identifier
1528376803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 229911
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 686665498 | Medicaid | FL | |
| 686665496 | Medicaid | FL |
National Provider Directory
National Provider DirectoryNPI 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.