Healthcare Provider Details

I. General information

NPI: 1316862998
Provider Name (Legal Business Name): CORE WELLNESS SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8141 N EDGE TRL APT K
AVON IN
46123-6996
US

IV. Provider business mailing address

8141 N EDGE TRL APT K
AVON IN
46123-6996
US

V. Phone/Fax

Practice location:
  • Phone: 317-665-3554
  • Fax:
Mailing address:
  • Phone: 317-665-3554
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: QUATAVIA LOVE
Title or Position: OWNER
Credential: LOVE
Phone: 317-665-3554