HEALTHCORE RESOURCE, INC (NPI# 1962832048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962832048 |
| Entity Type | Organization |
| Organization Name | HEALTHCORE RESOURCE, INC |
| Other Organization Name | HEALTHCORE ADOLESCENT RESIDENTIAL TREATMENT III |
| Practice Address |
821 Brookhannah Ct Fuquay Varina NC 27526-5138 |
| Mailing Address |
1001 Navaho Dr Suite 101 Raleigh NC 27609-7335 |
| Practice Telephone | 9198721178 |
| Practice Fax Number | 9198721170 |
| Mailing Telephone | 9198721178 |
| Mailing Fax Number | 9198721170 |
| Enumeration Date | 2013-11-26 |
| Last Update Date | 2015-01-09 |
| Authorized Official Name | IJEOMA E NWAEZE (CEO) |
| Authorized Official Telephone | 9198721178 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| HealthCore Adolescent Residential Treatment III | Doing Business As Name - Organization |
| 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 |
| 1831527068 | Healthcore Resource, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 8909 Sauls Rd, Raleigh, NC 27603-8726 | 2013-10-25 |
| 1144652090 | Healthcore Resource, Inc | Community/Behavioral Health | 3410 Healy Dr, Suite 201, Winston Salem, NC 27103-1403 | 2013-08-02 |
| 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 |
821 BROOKHANNAH CT |
| City | FUQUAY VARINA |
| State | NC |
| Zip Code | 27526-5138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215079058 | Hope Services, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 821 Brookhannah Ct, Fuquay Varina, NC 27526-5138 | 2007-02-12 |
| 1528444650 | Yelverton's Enrichment Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 821 Brookhannah Ct, Fuquay Varina, NC 27526-5138 | 2015-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336782721 | Leah C. Mcconkey | Speech-Language Pathologist | 305 Willow Grace Lane, Fuquay Varina, NC 27526 | 2019-10-18 |
| 1437617727 | Katherine Venable | Physician Assistant | 1418 N Main Street, Fuquay - Vanna, NC 27526 | 2019-03-06 |
| 1114403599 | Christine Newkirk | Social Worker | 344 Edgecroft Way, Fuquay Varina, NC 27526 | 2018-07-18 |
| 1851800536 | Pamela Trapp Johnson | Specialist | 196 Knight Estates Cir, Fuquay Varina, NC 27526 | 2017-09-25 |
| 1376908228 | Carrie Adeline Mitchell | Social Worker | 441 Leyland Cypress Ln, Fuquay Varina, NC 27526 | 2015-12-19 |
| 1235504267 | Keyana Sharlene Williams | Counselor | 602 E Academy St #205, Fuquay Varina, NC 27526 | 2015-12-02 |
| 1124452974 | Q1consultants, LLC | Community/Behavioral Health | 326 Daywood Creek Place, Fuquay, NC 27526 | 2013-08-29 |
| 1053759654 | Ellen Marie Macri | Developmental Therapist | 119 South Fuquay Avenue, Fuquay-varina, NC 27526 | 2013-06-05 |
| 1811239726 | Leslie H Yuan Gazdeck | Dentist | 1625 N Main St Ste 201, Fuquay Varina, NC 27526 | 2013-03-19 |
| 1093017725 | Joanne Scannell | Occupational Therapist | 119 South Fuquay Ave, Fuquay Varina, NC 27526 | 2010-12-01 |
| Find all providers in zip 27526 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932256591 | Yalonda Evon Coleman | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 219 Fuquay Springs Ave, Fuquay Varina, NC 27526-9332 | 2007-01-05 |
| 1083049217 | Woodard Afl Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2216 Angier Rd, Fuquay Varina, NC 27526-8316 | 2013-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578160552 | Residential Option Serving Adolescents, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2316 Carved Tree Ln, Charlotte, NC 28262-3154 | 2020-10-03 |
| 1649895442 | Gaynelle Bolling | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 102 Mandarin Dr, Pikeville, NC 27863-0020 | 2020-06-08 |
| 1851913966 | Johnson Enrichment Services LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 221 Foxcroft Dr, Winston Salem, NC 27103-5313 | 2020-05-12 |
| 1881230795 | Walter Jason Young Jr. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 412 Rook Rd, Charlotte, NC 28216-3199 | 2019-11-26 |
| 1750935839 | Heavenly Touch Residential Care | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4720 Baileys Lake Rd Nw Apt 204, Concord, NC 28027-8576 | 2019-07-28 |
| 1073166245 | Making Kids Matter, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 409 Hunton Forest Dr Nw, Concord, NC 28027-0186 | 2019-07-17 |
| 1891357752 | New Hope for Tomorrow LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 528 Baldwin Rd, Burlington, NC 27217-1702 | 2019-07-01 |
| 1114490877 | Brenda Gail Cannon | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3105 Vico Ter, Raleigh, NC 27610-5951 | 2019-01-05 |
| 1356813455 | Lamesha Marshall | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3335 Avalon Ave, Charlotte, NC 28208-3378 | 2018-12-31 |
| 1487131074 | Ronald Anthony Benjamin | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1594 Candace Ridge Dr, Greensboro, NC 27406-8595 | 2018-07-26 |
| Find all providers with the same taxonomy | ||||
| City | FUQUAY VARINA |
| Zip Code | 27526 |
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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.