Provider Demographics
NPI:1033449939
Name:CORNERSTONE HEALTH CARE INC
Entity Type:Organization
Organization Name:CORNERSTONE HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MOPELOLA
Authorized Official - Middle Name:O
Authorized Official - Last Name:FALORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-743-8013
Mailing Address - Street 1:535 W THOMAS RD APT 103
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85013-4250
Mailing Address - Country:US
Mailing Address - Phone:800-743-8013
Mailing Address - Fax:480-478-0213
Practice Address - Street 1:535 W THOMAS RD APT 103
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85013-4250
Practice Address - Country:US
Practice Address - Phone:800-743-8013
Practice Address - Fax:480-478-0213
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-28
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X, 251F00000X
AZ253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion
No253Z00000XAgenciesIn Home Supportive Care