Provider Demographics
NPI:1770961393
Name:CARE CORE SOLUTIONS, LLC
Entity type:Organization
Organization Name:CARE CORE SOLUTIONS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CARLO
Authorized Official - Middle Name:A
Authorized Official - Last Name:CRESPO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-450-8455
Mailing Address - Street 1:169 S MAIN ST # 344
Mailing Address - Street 2:
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956-3353
Mailing Address - Country:US
Mailing Address - Phone:646-450-8455
Mailing Address - Fax:646-570-1986
Practice Address - Street 1:169 S MAIN ST # 344
Practice Address - Street 2:
Practice Address - City:NEW CITY
Practice Address - State:NY
Practice Address - Zip Code:10956-3353
Practice Address - Country:US
Practice Address - Phone:646-450-8455
Practice Address - Fax:646-570-1986
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-14
Last Update Date:2015-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty