=====================================================
General NPI Number Information
=====================================================
NPI Number | 1669311544
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CORE HEALTH GROUP CORP.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/26/2026
-----------------------------------------------------
Last Update Date | 03/26/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6753 PRELUDE DR
-----------------------------------------------------
City | ATLANTA
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30328-2978
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 678-536-6668
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6753 PRELUDE DR
-----------------------------------------------------
City | ATLANTA
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30328-2978
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 678-536-6668
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | COO
-----------------------------------------------------
Name | HAAJAR JADOR LANHAM
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 305-970-1344
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251J00000X
-----------------------------------------------------
Taxonomy Name | Nursing Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------