Healthcare Provider Details

I. General information

NPI: 1417878695
Provider Name (Legal Business Name): CORE CARE SERVICES WNY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1223 WEST AVE LOWR
BUFFALO NY
14213-1311
US

IV. Provider business mailing address

1223 WEST AVE LOWR
BUFFALO NY
14213-1311
US

V. Phone/Fax

Practice location:
  • Phone: 716-313-0205
  • Fax:
Mailing address:
  • Phone: 716-313-0205
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State

VIII. Authorized Official

Name: MS. LAVONNE CORE
Title or Position: OWNER
Credential:
Phone: 716-313-0205