HEALTHCORE RESOURCE, INC (NPI# 1144652090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144652090 |
| Entity Type | Organization |
| Organization Name | HEALTHCORE RESOURCE, INC |
| Practice Address |
3410 Healy Dr Suite 201 Winston Salem NC 27103-1403 |
| Mailing Address |
1001 Navaho Dr Suite 101 Raleigh NC 27609-7335 |
| Practice Telephone | 8778721178 |
| Practice Fax Number | 9198721170 |
| Mailing Telephone | 8778721178 |
| Mailing Fax Number | 9198721170 |
| Enumeration Date | 2013-08-02 |
| Last Update Date | 2013-08-02 |
| Authorized Official Name | IJEOMA NWAEZE (CEO) |
| Authorized Official Telephone | 8778721178 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | NC | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881089126 | Healthcore Resource, Inc | Counselor | 106 W. Ash Street, Goldsboro, NC 27530-3615 | 2015-04-03 |
| 1174964142 | Healthcore Resource, Inc | Community/Behavioral Health | 8929 J M Keynes Dr, Suite 335, Charlotte, NC 28262-8406 | 2013-07-08 |
| 1588983936 | Healthcore Resource, Inc | Community/Behavioral Health | 2640 Yonkers Rd, Suite 104, Raleigh, NC 27604-3268 | 2010-05-25 |
| 1992129746 | Healthcore Resource, Inc | Community/Behavioral Health | 1600 E Wendover Ave, Suite A, Greensboro, NC 27405-6871 | 2014-02-14 |
| 1962832048 | Healthcore Resource, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 821 Brookhannah Ct, Fuquay Varina, NC 27526-5138 | 2013-11-26 |
| 1831527068 | Healthcore Resource, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 8909 Sauls Rd, Raleigh, NC 27603-8726 | 2013-10-25 |
| 1992146963 | Healthcore Resource, Inc | Community/Behavioral Health | 905 Halstead Blvd, Unit 30, Elizabeth City, NC 27909-6986 | 2013-07-08 |
| 1346681319 | Healthcore Resource, Inc | Community/Behavioral Health | 400 Glenwood Ave, Suite 5, Kinston, NC 28501-3870 | 2013-07-08 |
| 1861761827 | Healthcore Resource, Inc | Community/Behavioral Health | 113 E Oak St, Selma, NC 27576-2845 | 2011-12-21 |
| 1811283666 | Healthcore Resource, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 109 Evening Star Dr, Apex, NC 27502-4029 | 2011-06-21 |
| Street Address |
3410 HEALY DR SUITE 201 |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27103-1403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578549853 | Sean Patrick Nelligan | Social Worker | 3410 Healy Dr, Ste. 202, Winston Salem, NC 27103-1403 | 2005-12-19 |
| 1407367246 | John Daniel Erwin | Massage Therapist | 3410 Healy Dr, Ste 201-a, Winston Salem, NC 27103-1568 | 2017-10-19 |
| 1245694702 | Robin E Dock Phd | Community/Behavioral Health | 3410 Healy Dr, Suite 203, Winston Salem, NC 27103-1403 | 2016-04-11 |
| 1649630997 | New Life Counseling Center, Pllc | Counselor | 3410 Healy Dr, Suite 207, Winston Salem, NC 27103-1403 | 2016-02-29 |
| 1154718278 | Mission Medstaff, LLC | Nursing Care | 3410 Healy Dr, Suite 102, Winston Salem, NC 27103-1403 | 2015-04-16 |
| 1194117739 | Graham Counseling & Associates, LLC | Community/Behavioral Health | 3410 Healy Dr, Suite 117, Winston Salem, NC 27103-1403 | 2015-02-18 |
| 1578986717 | Footprints Counseling, Pllc | Marriage & Family Therapist | 3410 Healy Dr, Suite 200-a, Winston Salem, NC 27103-1403 | 2014-01-23 |
| 1013268051 | Reaching Your Goals | Community/Behavioral Health | 3410 Healy Dr, Winston Salem, NC 27103-1403 | 2012-10-01 |
| 1699044321 | Healthcore Reaource | Community/Behavioral Health | 3410 Healy Dr, Ste 201, Winston Salem, NC 27103-1403 | 2011-12-27 |
| 1801163423 | Step Up Pediatric and Adolescent Wellness Center | Counselor | 3410 Healy Dr, Suite 110, Winston Salem, NC 27103-1403 | 2011-11-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124648126 | Kelly Anne Wales | Pharmacist | 3917-a Westpoint Boulevard, Winston-salem, NC 27103 | 2020-04-20 |
| 1386281533 | Elena Mcginty | Nurse Practitioner | 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 | 2019-12-06 |
| 1992359442 | Madeline Pryor | Pharmacist | 255 Charlois Drive, Winston Salem, NC 27103 | 2019-08-01 |
| 1215599584 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 | 2019-07-07 |
| 1548734718 | Trivy Johnson | Specialist | 1384-b Westgate Center Dr., Winston Salem, NC 27103 | 2019-01-21 |
| 1447745047 | Novant Health Rehabilitation Hospital of Winston-salem, LLC | Rehabilitation Hospital | 2475 Hillcrest Center Circle, Winston Salem, NC 27103 | 2018-06-26 |
| 1346740206 | Joseph Miller | Physical Therapist | 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 | 2018-02-17 |
| 1548779101 | Kristin Blow | Counselor | 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 | 2017-09-27 |
| 1891213443 | Alisha Dawn Wilson | Occupational Therapy Assistant | 2101 Homestead Hills Drive, Winston Salem, NC 27103 | 2017-09-05 |
| 1588186969 | Brandy Wilson | Social Worker | 153 Cameron Way Circle, Winston Salem, NC 27103 | 2017-07-07 |
| Find all providers in zip 27103 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407489529 | It Takes A Village Residential Care LLC | Community/Behavioral Health | 5008 Butterfield Dr, Winston Salem, NC 27105-3344 | 2020-02-17 |
| 1265070890 | Monarch | Community/Behavioral Health | 2680 Grosvenor Pl Apt 1, Winston Salem, NC 27106-5244 | 2019-12-13 |
| 1457810491 | Marilyn Marie Holder | Community/Behavioral Health | 3215 Linda Cir, Winston Salem, NC 27106-3023 | 2019-03-19 |
| 1306362017 | The Gracen Foundation | Community/Behavioral Health | 1140 Old Hollow Rd, Winston Salem, NC 27105-8709 | 2017-08-15 |
| 1720529357 | Rising Hope Clinical Assistance, LLC | Community/Behavioral Health | 510 Northgate Park Dr, Winston Salem, NC 27106 | 2017-03-15 |
| 1962940601 | Kenya Thornton | Community/Behavioral Health | 1225 East 5th, Suite 100, Winston Salem, NC 27101 | 2017-02-02 |
| 1881076446 | Monarch | Community/Behavioral Health | 967 Salisbury Ridge Rd, Winston Salem, NC 27127-3709 | 2015-06-19 |
| 1487032249 | Monarch | Community/Behavioral Health | 2844 Reynolda Rd, Winston Salem, NC 27106-3102 | 2015-05-13 |
| 1467839696 | Aria Health LLC | Community/Behavioral Health | 5312 Summit Heights Dr, Winston Salem, NC 27104-4479 | 2015-04-27 |
| 1194128629 | Valerie Benton Center | Community/Behavioral Health | 8 W 3rd St Ste 220, Winston Salem, NC 27101-3977 | 2014-09-29 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27103 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.