CORA SOUTH CAROLINA LLC NPI 1396250049

NPI Information

  • NPI: 1396250049
  • Provider Name: CORA SOUTH CAROLINA LLC
  • Classification: Clinic/Center - 261QR0400X
  • Specialization: Rehabilitation
  • Entity Type: Organization
  • Doing Business As: CORA SOUTH CAROLINA LLC
  • Address: 1110 SHAWNEE RD
    LIMA, OH
    ZIP 45805
  • Phone: (419) 221-6720

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NPI Details

CORA SOUTH CAROLINA LLC is a rehabilitation clinic center in Lima, OH. CORA SOUTH CAROLINA LLC NPI is 1396250049. The provider is registered as an organization entity type.
The provider Is Doing Business As Cora South Carolina Llc.

The provider's business location address is:

1110 SHAWNEE RD
LIMA, OH
ZIP 45805-529
Phone: (419) 221-6720
Fax: (419) 222-0507

The provider's authorized official is Brad C Roush .
The authorized official title is Executive Vice President and has the following contact phone number (419) 221-6712.

The enumeration date for this NPI number is 12/4/2017 and was last updated on 12/4/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0400XClinic/CenterRehabilitationSOUTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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