NPIMap

Organization Active NPI

Healthcore Resource, Inc

Doing business as HealthCore Adolescent Residential Treatment I

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Apex, NC
National Provider Identifier
1811283666
Registry record updated Jan 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
MHL-092-767 Issued in NC
Legal business name
HEALTHCORE RESOURCE, INC
Doing business as
HealthCore Adolescent Residential Treatment I
Practice address
109 Evening Star Dr
Apex, NC 27502-4029
Phone
(919) 303-5002
Fax
(919) 303-4071
NPI assigned
Jun 21, 2011
Last updated
Jan 9, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2015

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

Authorized official

Name
Ijeoma Nwaeze
Title
Ceo
Phone
(919) 872-1178

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X MHL-092-767 NC Primary

Addresses

Primary practice location

109 Evening Star Dr
Apex, NC 27502-4029

Mailing address

1001 Navaho Dr
Suite 101
Raleigh, NC 27609-7335
Phone (919) 872-1178

Other names 1

  • HealthCore Adolescent Residential Treatment I Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Healthcore Resource Behavioral Health37 organizations share this tax ID, including this one

Other organizations with this tax ID 36

Organizations that report the same tax identification number in the National Provider Directory.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420761600000",
    "number": "1811283666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 NAVAHO DR",
            "address_2": "SUITE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097335",
            "telephone_number": "919-872-1178",
            "fax_number": "919-872-1170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 EVENING STAR DR",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275024029",
            "telephone_number": "919-303-5002",
            "fax_number": "919-303-4071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHCORE RESOURCE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-21",
        "last_updated": "2015-01-09",
        "status": "A",
        "authorized_official_last_name": "NWAEZE",
        "authorized_official_first_name": "IJEOMA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-872-1178"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL-092-767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthCore Adolescent Residential Treatment I",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Apex, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2015; 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.