Healthcore Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

HEALTHCORE INC

Practice address

606 SE Baya Dr
Lake City, FL 32025-6026

Phone

(386) 755-8680

Fax

(386) 755-6639

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Kenneth A Watson, NA

Title

President/Owner

Phone

(386) 754-3908

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Outpatient physical therapy / speech pathology certification: CCN 106892

Legal name

HEALTHCORE INC

Certification status

Active

Provider type (POS)

Outpatient physical therapy / speech pathology

Participating since

Mar 15, 1995

Last certification

Jun 25, 2024

Ownership / control type

Proprietary

Facility address

606 SE Baya Dr
Lake City, FL 32025

Locations

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208390400000",
    "number": "1700997061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2181",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320562181",
            "telephone_number": "386-754-3908",
            "fax_number": "386-754-9059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 SE BAYA DR",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320256026",
            "telephone_number": "386-755-8680",
            "fax_number": "386-755-6639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHCORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-04-17",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "386-754-3908",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NA"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Belinda Scott Hayter, L.P.N.
• Christopher Hayton, LCSW
• HC Healthcare Inc
• Renee Head
• Healing Department L.L.C.
• Healthworks of Lake City, Inc.
• Hearing Care Resources, Inc.
• Hearing Solutions Inc
• Heartland Womens Health Center P a
• Stephen Helvey, RPH

• Physical Therapist in Lake City, FL
• Providers in Lake City, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.