Core Health, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

2010003837 Issued in MO

Legal business name

CORE HEALTH, LLC

Practice address

19550 E 39TH St S
Suite 235
Independence, MO 64057-2303

Phone

(816) 404-9120

NPI assigned

Dec 16, 2013

Organization subpart

No

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

Authorized official

Name

Jason F Moss, D.C.

Title

Owner

Phone

(816) 404-9120

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1387152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397174400000",
    "number": "1689095895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19550 E 39TH ST S",
            "address_2": "SUITE 235",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640572303",
            "telephone_number": "816-404-9120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19550 E 39TH ST S",
            "address_2": "SUITE 235",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640572303",
            "telephone_number": "816-404-9120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-16",
        "last_updated": "2014-04-11",
        "status": "A",
        "authorized_official_last_name": "MOSS",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-404-9120",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2007035558",
            "primary": false
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "MO",
            "license": "2010003837",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "MO",
            "license": "2010003837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Marie Cool, LCSW, LSCSW
• Aidan Coolidge, BCBA
• William T Cooper, CRNA
• Joy G. Copeland, M.ED., LPC
• Branden Thomas Corbello
• Core Home Health Agency LLC
• Caitlyn Cornell, LMSW
• Christopher Kent Cornine, PHD
• Alexander Sebastian Cosio-Santillan, CADC II
• Kaylee Costanza

• General Practice Physician in Independence, MO
• Providers in Independence, MO by specialty
• General Practice Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2014; 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.