Organization Active NPI

Corecare Med LLC

  • Durable Medical Equipment & Medical Supplies
  • Lithonia, GA
National Provider Identifier
1609795699
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
CORECARE MED LLC
Practice address
4392 Meadow Vista Dr
Lithonia, GA 30038-7737
Phone
(646) 817-0438
NPI assigned
Jul 13, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Authorized official

Name
Essence Bembry
Title
Owner
Phone
(646) 817-0438

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

4392 Meadow Vista Dr
Lithonia, GA 30038-7737

Mailing address

4392 Meadow Vista Dr
Lithonia, GA 30038-7737
Phone (646) 817-0438

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1783900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783900800000",
    "number": "1609795699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4392 MEADOW VISTA DR",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300387737",
            "telephone_number": "646-817-0438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4392 MEADOW VISTA DR",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300387737",
            "telephone_number": "646-817-0438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORECARE MED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-13",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A",
        "authorized_official_last_name": "BEMBRY",
        "authorized_official_first_name": "ESSENCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-817-0438"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lithonia, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.