CORA REHABILITATION CLINICS - HOLIDAY – NPI #1710910997
Clinic/Center

CORA REHABILITATION CLINICS - HOLIDAY is an AHC clinic located in HOLIDAY, FL. NPPES has assigned the NPI number 1710910997 to CORA REHABILITATION CLINICS - HOLIDAY on July 09, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CORA REHABILITATION CLINICS - HOLIDAY” is a dba name, the actual legal business name for this organization is CORA HEALTH SERVICES INC. The primary taxonomy selected by this provider is 261QR0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Rehabilitation

The NPI profile was previously updated about 3 years ago on Oct 19, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CORA REHABILITATION CLINICS - HOLIDAY below.

NPI Profile for
CORA HEALTH SERVICES INC

NPI Number
1710910997
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CORA HEALTH SERVICES INC
Doing Business As (dba): CORA REHABILITATION CLINICS - HOLIDAY
Primary location
3442 US HIGHWAY 19
HOLIDAY, FL 34691-1850
Phone: (727) 841-8160 Fax: (727) 841-8164
Mailing address
PO BOX 150
LIMA, OH 45802-0150
Phone: (419) 221-6717 Fax: (419) 222-0507
Organization Subpart
No
Authorized Official
STEPHEN KRZYMINSKI
EXECUTIVE VICE PRESIDENT
Phone: (419) 221-6717
Updated
Certification Date
Oct 19, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for CORA REHABILITATION CLINICS - HOLIDAY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBLUE CROSS BLUE SHIELDFLRN4
MEDICAIDFL8841560-85
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QR0400X
- Clinic/Center / Rehabilitation (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.