Corleone Enterprises Incorporated

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CORLEONE ENTERPRISES INCORPORATED

Practice address

130 Wilkshire Dr
Columbia, SC 29210-4254

Phone

(704) 665-8213

NPI assigned

Sep 20, 2024

Organization subpart

No

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

Authorized official

Name

Mr. John Henry Stephens V

Title

Owner

Phone

(704) 665-8213

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1726790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726790400000",
    "number": "1548087612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 WILKSHIRE DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292104254",
            "telephone_number": "704-665-8213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 WILKSHIRE DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292104254",
            "telephone_number": "704-665-8213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORLEONE ENTERPRISES INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-20",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-665-8213",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "V"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Salvador Manuel Cordova-Barreto, RPH
• Core Health Services LLC
• Core Healthcare LLC
• Core International LLC
• Corine'S Care Management, Inc.
• Anna Grace Ridlehuber Corley, LMSW
• Gail B Corley, MS RD
• Julie Corley, BSN
• Kevin Brennen Corley, APRN
• Libby Vanessa Corley, M.S.W.

• Community/Behavioral Health Agency in Columbia, SC
• Providers in Columbia, SC by specialty
• Community/Behavioral Health Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; 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.