Core Health Partners LLC
Organization Active NPI General Practice Physician · Immokalee, FL
NPI 1649815200 · NPPES record last updated Sep 30, 2024
Key facts
- NPI
- 1649815200
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Physician 208D00000X
- Legal business name
- CORE HEALTH PARTNERS LLC
- Practice address
- 750 S 5TH St Ste 100D
Immokalee, FL 34142-4301 - Phone
- (239) 571-9015
- Fax
- (949) 404-8793
- NPI assigned
- Nov 7, 2019
- Organization subpart
- No
Authorized official
- Name
- Paul J. Thein
- Title
- Manger
- Phone
- (239) 302-9223
Practitioners 11
-
Lisa Anne Feola, OTR/L
-
Nohely Torres, RDN
-
Carolina Castelli Figley, M.D., M.P.H, R.D.L
-
Ainalez Lopez, M.S.
-
Melicent Bussey, PT
-
Diana Vittorio, RD
-
Linda Gail Cook, M.S., C.C.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191230000274 | FL | Part B Supplier - Clinic/Group Practice | 0143654145 |
Receives reassigned benefits from 9 practitioners Practice locations: Immokalee, FL; Naples, FL; Marco Island, FL |
National Provider Directory
Locations
429 N 1st St
Immokalee, FL 34142
Phone (239) 254-4280
750 S 5th St
Ste 100
Immokalee, FL 34142
2035 Sanchez Casal Way
Naples, FL 34105
Phone (239) 263-1818
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician |
208D00000X | Yes |
Addresses
Primary practice location
750 S 5TH St Ste 100D
Immokalee, FL 34142-4301
Mailing address
750 S 5TH St Ste 100D
Immokalee, FL 34142-4301
Phone (239) 571-9015
Other practice location 1
5450 YMCA Rd
Togetherhood Initative at the Naples YMCA
Naples, FL 34109-5944
Phone (239) 571-9015
Other practice location 2
101 Sand Hill St
Togetherhood Initiative at the Marco Island YMCA
Marco Island, FL 34145-4614
Phone (239) 970-8293
Other practice location 3
2035 Sanchez Casal Way
Center for Health Performance
Naples, FL 34105-3265
Phone (239) 571-9015
Other names
- Core Health Partners
Other providers in Immokalee, FL
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All providers in Immokalee, FL · General Practice Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.