Healthcare Provider Details

I. General information

NPI: 1487589131
Provider Name (Legal Business Name): CORE FUNCTION OPERATION GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1410 WILTON FARM RD APT 202
CHARLOTTESVILLE VA
22911-7617
US

IV. Provider business mailing address

1410 WILTON FARM RD APT 202
CHARLOTTESVILLE VA
22911-7617
US

V. Phone/Fax

Practice location:
  • Phone: 910-605-6731
  • Fax:
Mailing address:
  • Phone: 910-605-6731
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: SHALONDA DENISE BENNETT
Title or Position: OWNER
Credential:
Phone: 910-605-6731