CORA HEALTH SERVICES INC (NPI# 1790714343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790714343 |
| Entity Type | Organization |
| Organization Name | CORA HEALTH SERVICES INC |
| Other Organization Name | CORA PHYSICAL THERAPY - WEST DADE |
| Practice Address |
2619 S.w. 147th Avenue Miami FL 33185 |
| Mailing Address |
1110 Shawnee Road Lima OH 45805 |
| Practice Telephone | 3052070602 |
| Practice Fax Number | 3052070248 |
| Mailing Telephone | 4192216717 |
| Mailing Fax Number | 4192220507 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2020-03-25 |
| Authorized Official Name | MR. BRAD C. ROUSH (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Telephone | 4192216712 |
| Is Organization Subpart | Y |
| Parent Organization Name | CORA HEALTH SERVICES INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 8841560-69 | 05 | |
| FL | TRS | 4359 | 01 |
| FL | BLUE CROSS BLUE SHIELD | RL6 | 01 |
| Other Name | Type Code |
|---|---|
| CORA Physical Therapy - West Dade | Doing Business As Name - Organization |
| CORA Rehabilitation Clinics - West Dade | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962990317 | Cora Health Services Inc | Clinic/Center | 801 N Orange Ave Ste 700, Orlando, FL 32801-5202 | 2018-05-01 |
| 1649785064 | Cora Health Services Inc | Clinic/Center | 24851 S Tamiami Trl Ste 1, Bonita Springs, FL 34134-7024 | 2017-12-07 |
| 1437661683 | Cora Health Services Inc | Clinic/Center | 6790 Coral Way, Miami, FL 33155-1702 | 2017-10-27 |
| 1548772049 | Cora Health Services Inc | Clinic/Center | 15449 Sw 137th Ave, Miami, FL 33177-1279 | 2017-10-25 |
| 1629597463 | Cora Health Services Inc | Clinic/Center | 1994 State Road 44 Ste 2, New Smyrna Beach, FL 32168-8349 | 2017-09-13 |
| 1427575273 | Cora Health Services Inc | Clinic/Center | 19100 S Tamiami Trl Ste 4, Fort Myers, FL 33908-1011 | 2017-08-23 |
| 1427579291 | Cora Health Services Inc | Clinic/Center | 8615 S Tamiami Trl, Sarasota, FL 34238-3052 | 2017-07-03 |
| 1689194326 | Cora Health Services Inc | Clinic/Center | 3317 Us Highway 98 S Ste 5, Lakeland, FL 33803-8316 | 2017-06-23 |
| 1679009997 | Cora Health Services Inc | Clinic/Center | 1114 Bichara Blvd, The Villages, FL 32159-7716 | 2017-05-05 |
| 1396283941 | Cora Health Services Inc | Clinic/Center | 15255 Max Leggett Pkwy Ste 5300, Jacksonville, FL 32218-7274 | 2017-02-03 |
| Street Address |
2619 S.W. 147TH AVENUE |
| City | MIAMI |
| State | FL |
| Zip Code | 33185 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376155705 | Yadisne Barrera | Behavior Technician | 15000 Sw 42 Terra, Miami, FL 33185 | 2020-08-18 |
| 1619515525 | Dairelys Mejia | Behavior Technician | 16636 Sw 47 Terra, Miami, FL 33185 | 2019-12-11 |
| 1750868535 | Abuelas Retirement Home, Inc. | Assisted Living Facility | 4257 Sw 154th Ct, Miami, FL 33185 | 2018-07-24 |
| 1831683812 | Rosa Yanet Manzano | Nurse Practitioner | 15549 Sw 32 Terrace, Miami, FL 33185 | 2018-06-21 |
| 1124518527 | Odalis Aragon | Behavior Technician | 3090 Sw 149th Ave, Miami, FL 33185 | 2018-05-11 |
| 1649777269 | Dairy Torres | Behavior Technician | 4411 Sw 163rd Psge, Miami, FL 33185 | 2018-04-10 |
| 1629572912 | Pedro Jose Molina | Nurse Practitioner | 3481 Sw 152 Pl, Miami, FL 33185 | 2018-03-21 |
| 1043720519 | Elibel Barbara Atala | Behavior Technician | 15356 Sw 43rd Ter, Miami, FL 33185 | 2017-10-10 |
| 1346768314 | Ilineis Gonzalez | Behavioral Analyst | 14932 Sw 30th Ter, Miami, FL 33185 | 2017-08-30 |
| 1306371414 | Casa Del Sol Adult Day Care, LLC | Clinic/Center | 14770 Sw 26th Street, Suite 102-103, Miami, FL 33185 | 2017-04-26 |
| Find all providers in zip 33185 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649894361 | Yemaya Medical Center LLC | Clinic/Center | 2141 Sw 1st St Ste 206a, Miami, FL 33135-5603 | 2020-05-29 |
| 1568005411 | Depena Health Group LLC | Clinic/Center | 7171 Sw 24th St Ste 316, Miami, FL 33155-1692 | 2019-10-23 |
| 1356990444 | Rehab Center Ag Inc | Clinic/Center | 1250 Sw 27th Ave Ste 506, Miami, FL 33135-4751 | 2019-09-10 |
| 1881240935 | Contender Recovery | Clinic/Center | 6821 Sw 44th St Apt 304, Miami, FL 33155-4758 | 2019-08-14 |
| 1891293668 | Petersen Medical Corp. | Clinic/Center | 7235 Coral Way Ste 213, Miami, FL 33155-1452 | 2018-01-26 |
| 1437661683 | Cora Health Services Inc | Clinic/Center | 6790 Coral Way, Miami, FL 33155-1702 | 2017-10-27 |
| 1548772049 | Cora Health Services Inc | Clinic/Center | 15449 Sw 137th Ave, Miami, FL 33177-1279 | 2017-10-25 |
| 1598276784 | Premier Pain Medical Center, Inc. | Clinic/Center | 3399 Nw 72nd Ave Ste 101, Miami, FL 33122-1355 | 2017-10-16 |
| 1386154029 | Pro Medical Institute Inc | Clinic/Center | 330 Sw 27th Ave Ste 604, Miami, FL 33135-2968 | 2017-10-09 |
| 1477078947 | Motion Recovery Corp | Clinic/Center | 12595 Sw 137th Ave Ste 104, Miami, FL 33186-4218 | 2017-08-07 |
| Find all providers in MIAMI | ||||
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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.