Healthcare Provider Details

I. General information

NPI: 1235049719
Provider Name (Legal Business Name): O & R CORE CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11146 SUMMER STAR DR
RIVERVIEW FL
33579-2342
US

IV. Provider business mailing address

11146 SUMMER STAR DR
RIVERVIEW FL
33579-2342
US

V. Phone/Fax

Practice location:
  • Phone: 612-442-0398
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: CASSANDRA COOPER
Title or Position: OWNER
Credential:
Phone: 347-583-4798