CORNERSTONE SENIOR CARE AND ASSISTED LIVING,LLC (NPI# 1285111906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285111906 |
| Entity Type | Organization |
| Organization Name | CORNERSTONE SENIOR CARE AND ASSISTED LIVING,LLC |
| Other Organization Name | CORNERSTONE SENIOR CARE |
| Practice Address |
3900 Joe Ramsey Blvd E Bldg 10a Greenville TX 75401-7727 |
| Mailing Address |
1233 Muscogee Trl Carrollton TX 75010-1165 |
| Practice Telephone | 9729511933 |
| Practice Fax Number | 9723951272 |
| Mailing Telephone | 9722487848 |
| Enumeration Date | 2018-07-25 |
| Last Update Date | 2018-07-25 |
| Authorized Official Name | ROY A KOSHY (ADMINISTRATOR) |
| Authorized Official Telephone | 9729511933 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| CORNERSTONE SENIOR CARE | Doing Business As Name - Organization |
| Street Address |
3900 JOE RAMSEY BLVD E BLDG 10A |
| City | GREENVILLE |
| State | TX |
| Zip Code | 75401-7727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639653512 | Steven Wolanski | Occupational Therapy Assistant | Greenville Gardens Snf 3500 Park St., Greenville, TX 75401 | 2018-09-18 |
| 1184125460 | Heather Rae Hudson | Registered Nurse | 4911 Henry St, Greenville, TX 75401 | 2018-02-22 |
| 1154864742 | Kimberly Elaine Middleton | Nurse Practitioner | 4211 Joe Ramsey Blvd E Ste 105, Greenville, TX 75401 | 2016-11-30 |
| 1013373885 | Paul Brancheau | Podiatrist | 3900 Joe Ramsey Blvd E Bldg 5, Greenville, TX 75401 | 2016-01-11 |
| 1982079331 | Foresight Home Healthcare Incorporated | Home Health | 2102 Frazier Street, Greenville, TX 75401 | 2015-12-10 |
| 1083018451 | Johnny Sanders Jr. | Nurse's Aide | 1705 Northwest Hwy, Garland, TX 75401 | 2014-10-14 |
| 1942620299 | Robert Chandler Duckworth | Counselor | 4216 Wesley Street, Suite 700, Greenville, TX 75401 | 2014-04-24 |
| 1164843645 | Erica Rae Crawford | Psychologist | 3101 Joe Ramsey Boulevard, Suite 103a, Greenville, TX 75401 | 2013-12-30 |
| 1215225057 | Jordan Kelsi Mahan | Nurse Practitioner | 4101 Wesley St Ste D, Greenville, TX 75401 | 2011-07-14 |
| 1477888196 | Johnny Johnson | Physician Assistant | 4211 Joe Ramsey Blvd, Suite 100, Greenville, TX 75401 | 2009-10-14 |
| Find all providers in zip 75401 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051615 | Tranquility Now | Community/Behavioral Health | 123 Sw Odessa Ter, Greenville, FL 32331-3414 | 2020-10-20 |
| 1114549532 | Uniquely Me LLC | Community/Behavioral Health | 2409 Charles Blvd, Greenville, NC 27858-5925 | 2020-05-07 |
| 1043841406 | Gibbs Treatment Solutions | Community/Behavioral Health | 8757 Rufing Rd, Greenville, IN 47124-9649 | 2020-02-03 |
| 1558911677 | Positive Innergy Medical Group | Community/Behavioral Health | 26 Potomac Ave, Greenville, SC 29605-2118 | 2019-09-19 |
| 1831651850 | Nick Comai, LLC | Community/Behavioral Health | 1202 Tamarack Ct, Greenville, MI 48838-2597 | 2019-04-01 |
| 1295234565 | Krystle Shields | Community/Behavioral Health | 3116 Noah Ct, Greenville, NC 27834-6239 | 2018-02-01 |
| 1639697642 | Stigma Inc. | Community/Behavioral Health | 815 E Butler Rd Apt 228, Greenville, SC 29607-5870 | 2017-08-30 |
| 1669998001 | Idella's Care Home | Community/Behavioral Health | 2912 Lee Ct # 9a, Greenville, NC 27834 | 2017-08-17 |
| 1821514266 | Idella Care Homes | Community/Behavioral Health | 870 Spring Forest Rd, Greenville, NC 27834 | 2017-08-17 |
| 1114442258 | Idella's Home | Community/Behavioral Health | 1015 F8 Spring Forest Rd, Greenville, NC 27834 | 2017-08-10 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 75401 |
Please comment or provide details below to improve the information on CORNERSTONE SENIOR CARE AND ASSISTED LIVING,LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.