Provider Demographics
NPI:1316302581
Name:CORE HEALTH CARE LLC
Entity type:Organization
Organization Name:CORE HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ALI
Authorized Official - Middle Name:KHALIF
Authorized Official - Last Name:WARSAME
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-200-8791
Mailing Address - Street 1:1020 E 146TH ST STE 230
Mailing Address - Street 2:
Mailing Address - City:BURNSVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55337-6757
Mailing Address - Country:US
Mailing Address - Phone:952-432-1492
Mailing Address - Fax:952-432-0873
Practice Address - Street 1:1020 E 146TH ST STE 230
Practice Address - Street 2:
Practice Address - City:BURNSVILLE
Practice Address - State:MN
Practice Address - Zip Code:55337-6757
Practice Address - Country:US
Practice Address - Phone:952-432-1492
Practice Address - Fax:952-432-0873
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-15
Last Update Date:2017-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health