Provider Demographics
NPI:1194531558
Name:CARECORE AT NORWALK LLC
Entity type:Organization
Organization Name:CARECORE AT NORWALK LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OF HR
Authorized Official - Prefix:
Authorized Official - First Name:EITAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LAGHAIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-668-8258
Mailing Address - Street 1:66 NORWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:OH
Mailing Address - Zip Code:44857-2337
Mailing Address - Country:US
Mailing Address - Phone:419-668-8258
Mailing Address - Fax:
Practice Address - Street 1:66 NORWOOD AVE
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:OH
Practice Address - Zip Code:44857-2337
Practice Address - Country:US
Practice Address - Phone:419-668-8258
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-09
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility