CORNERSTONE FAMILY CARE, LLC (NPI# 1417302506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417302506 |
| Entity Type | Organization |
| Organization Name | CORNERSTONE FAMILY CARE, LLC |
| Other Organization Name | COMFORT KEEPERS #697 |
| Practice Address |
387 Lake Havasu Ave S Ste 102 Lake Havasu City AZ 86403-9306 |
| Practice Telephone | 9288550005 |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2016-04-26 |
| Authorized Official Name | CHRISTOPHER L GAMBLE (MANAGING MEMBER) |
| Authorized Official Telephone | 9288550005 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 347C00000X | Private Vehicle | Transportation Services | ||
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| Other Name | Type Code |
|---|---|
| Comfort Keepers #697 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720495161 | Cornerstone Family Care, LLC | Assisted Living Facility | 424 Glovenia St, Eden, NC 27288-4844 | 2014-07-17 |
| Street Address |
387 LAKE HAVASU AVE S STE 102 |
| City | LAKE HAVASU CITY |
| State | AZ |
| Zip Code | 86403-9306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831503671 | Acadia, LLC | In Home Supportive Care | 387 Lake Havasu Ave S Ste 102, Lake Havasu City, AZ 86403-9306 | 2014-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104479039 | Liska's Apothecary Shop, Inc. | Assisted Living Facility | 1840 Mesquite Ave., Ste. E, Lake Havasu City, AZ 86403 | 2019-07-19 |
| 1275033227 | Ayad Costy | Pharmacist | 75 North Lake Havasu City, Lake Havasu City, AZ 86403 | 2018-02-16 |
| 1942727250 | Ideal Health Care, L.L.C. | Prosthetic/Orthotic Supplier | 1675 Mesquite Ave Ste A, Lake Havasu City, AZ 86403 | 2017-08-28 |
| 1063965036 | Cerner Health Connections, Inc | Clinic/Center | 89 Civic Center Blvd, Lake Havasu City, AZ 86403 | 2016-07-26 |
| 1447643358 | Lundin Dental PC | Durable Medical Equipment & Medical Supplies | 1741 Mesquite Avenue Ste B 100, Lake Havasu City, AZ 86403 | 2015-03-17 |
| 1912301425 | Arizona Havasu Bdm Pak LLC | Dentist | 1799 North Kiowa Blvd, Unit 109, Lake Havasu, AZ 86403 | 2014-10-13 |
| 1386047850 | Emily E Vona | Nurse Practitioner | 84 Acoma Blvd N Ste 104, Lake Havasu City, AZ 86403 | 2014-09-29 |
| 1750700589 | Thomas Wennergren | Pharmacist | 25 S Lake Havasu Ave, Lake Havasu City, AZ 86403 | 2014-04-09 |
| 1285997460 | Jamie L Lemire | Pharmacist | 1980 Mcculloch Blvd, Lake Havasu City, AZ 86403 | 2012-06-21 |
| 1053694448 | Goodwill of Northern Arizona | Exclusive Provider Organization | 1990 Mcculloch Blvd North, Lake Havasu City, AZ 86403 | 2011-09-22 |
| Find all providers in zip 86403 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336759349 | Christopher Lee Gamble | In Home Supportive Care | 1990 Mcculloch Blvd N # D55, Lake Havasu City, AZ 86403-5749 | 2020-08-04 |
| 1154894541 | Alternate Solutions Care Giver Specialist, LLC | In Home Supportive Care | 276 Lake Havasu Ave S Ste A10, Lake Havasu City, AZ 86403-6573 | 2019-01-08 |
| 1861907917 | Sdx Home Care Operations, LLC | In Home Supportive Care | 2935 Maricopa Ave Ste 202, Lake Havasu City, AZ 86406-9290 | 2017-12-12 |
| 1831503671 | Acadia, LLC | In Home Supportive Care | 387 Lake Havasu Ave S Ste 102, Lake Havasu City, AZ 86403-9306 | 2014-06-19 |
| 1912504358 | Sunflowers Home Health Care | In Home Supportive Care | 1989 Mesquite Ave Unit 1, Lake Havasu City, AZ 86403 | 2020-10-08 |
| 1144827171 | Sunflowers Home Health Care | In Home Supportive Care | 1989 Mesquite Ave Unit 1, Lake Havasu City, AZ 86403 | 2020-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679174809 | Calwood Corporation | In Home Supportive Care | 7225 N Mona Lisa Rd Ste 204, Tucson, AZ 85741-2598 | 2020-11-04 |
| 1154921278 | Md Triage | In Home Supportive Care | 20235 N Cave Creek Rd Ste 104-214, Phoenix, AZ 85024-4424 | 2020-10-28 |
| 1679172167 | Tsp Holdings LLC | In Home Supportive Care | 3040 N Campbell Ave Ste 110, Tucson, AZ 85719-7317 | 2020-10-26 |
| 1912507344 | Sparrow Staffing Services | In Home Supportive Care | 900 W Chandler Blvd Ste A-7, Chandler, AZ 85225-4908 | 2020-10-26 |
| 1164021036 | Healthy Homes LLC | In Home Supportive Care | 9280 S Kyrene Rd Ste 106, Tempe, AZ 85284-2952 | 2020-10-22 |
| 1003415910 | Helpful Hands Care LLC | In Home Supportive Care | 926 W Julie Dr, Tempe, AZ 85283-2771 | 2020-10-21 |
| 1578162889 | Poarche' Clark | In Home Supportive Care | 1738 E Cortez Dr, Casa Grande, AZ 85122-6318 | 2020-10-19 |
| 1871191221 | Covenant Home Health LLC | In Home Supportive Care | 11830 N. 19th Ave, Suite 101 Pendleton, Phoenix, AZ 85029 | 2020-10-16 |
| 1700484086 | Award Homes LLC | In Home Supportive Care | 5703 S Palm Dr, Tempe, AZ 85283-2918 | 2020-10-09 |
| 1326655978 | Rcs Home Care LLC | In Home Supportive Care | 6499 S Kings Ranch Rd Ste 8, Gold Canyon, AZ 85118-2920 | 2020-09-28 |
| Find all providers with the same taxonomy | ||||
| City | LAKE HAVASU CITY |
| Zip Code | 86403 |
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| 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.