Provider Demographics
NPI:1104786805
Name:CORA HEALTH SERVICES, INC
Entity type:Organization
Organization Name:CORA HEALTH SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PAYER RELATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:K
Authorized Official - Last Name:BEACH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-216-9913
Mailing Address - Street 1:3745 SHAWNEE RD STE 103
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45806-1660
Mailing Address - Country:US
Mailing Address - Phone:786-204-1050
Mailing Address - Fax:567-301-3703
Practice Address - Street 1:12321 STONEYBROOK WEST PKWY STE B
Practice Address - Street 2:
Practice Address - City:WINTER GARDEN
Practice Address - State:FL
Practice Address - Zip Code:34787-4199
Practice Address - Country:US
Practice Address - Phone:407-410-8746
Practice Address - Fax:407-308-0034
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-14
Last Update Date:2025-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation