Organization Active NPI

Corecare Behavorial Services LLC

  • In Home Supportive Care Agency
  • Manassas, VA
National Provider Identifier
1962387704
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
CORECARE BEHAVORIAL SERVICES LLC
Practice address
7960 Donegan Dr Ste 201
Manassas, VA 20109-8236
Phone
(703) 298-3429
NPI assigned
Aug 11, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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

Authorized official

Name
Lambert Obenson
Title
Managing Director
Phone
(314) 225-5545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

7960 Donegan Dr Ste 201
Manassas, VA 20109-8236

Mailing address

7960 Donegan Dr Ste 201
Manassas, VA 20109-8236
Phone (703) 298-3429

National Provider Directory

National Provider Directory

Locations

7960 Donegan Dr
Ste 201
Manassas, VA 20109
Phone (301) 219-6801

NPI Registry JSON

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

{
    "created_epoch": "1754870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754870400000",
    "number": "1962387704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7960 DONEGAN DR STE 201",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201098236",
            "telephone_number": "703-298-3429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7960 DONEGAN DR STE 201",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201098236",
            "telephone_number": "703-298-3429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORECARE BEHAVORIAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-11",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-10",
        "status": "A",
        "authorized_official_last_name": "OBENSON",
        "authorized_official_first_name": "LAMBERT",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "314-225-5545"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; 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.