Organization Active NPI

Healthcore Resource, Inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Fuquay Varina, NC
National Provider Identifier
1962832048
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
Legal business name
HEALTHCORE RESOURCE, INC
Practice address
821 Brookhannah CT
Fuquay Varina, NC 27526-5138
Phone
(919) 872-1178
Fax
(919) 872-1170
NPI assigned
Nov 26, 2013
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 E Nwaeze
Title
Ceo
Phone
(919) 872-1178

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

821 Brookhannah CT
Fuquay Varina, NC 27526-5138

Mailing address

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

Other names 1

  • HealthCore Adolescent Residential Treatment III Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Healthcore Reaource37 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": "1385424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420761600000",
    "number": "1962832048",
    "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": "821 BROOKHANNAH CT",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275265138",
            "telephone_number": "919-872-1178",
            "fax_number": "919-872-1170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHCORE RESOURCE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-26",
        "last_updated": "2015-01-09",
        "status": "A",
        "authorized_official_last_name": "NWAEZE",
        "authorized_official_first_name": "IJEOMA",
        "authorized_official_middle_name": "E",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthCore Adolescent Residential Treatment III",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fuquay Varina, 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.