Provider Demographics
NPI:1053649822
Name:CORNERSTONE HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:CORNERSTONE HOME HEALTH CARE LLC
Other - Org Name:CORNERSTONE HOME HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:HARVEY
Authorized Official - Last Name:CALLAHAN
Authorized Official - Suffix:
Authorized Official - Credentials:APRN-BC
Authorized Official - Phone:617-767-2793
Mailing Address - Street 1:24 FAIRVIEW ST
Mailing Address - Street 2:
Mailing Address - City:ROSLINDALE
Mailing Address - State:MA
Mailing Address - Zip Code:02131-1629
Mailing Address - Country:US
Mailing Address - Phone:617-767-2793
Mailing Address - Fax:
Practice Address - Street 1:24 FAIRVIEW ST
Practice Address - Street 2:
Practice Address - City:ROSLINDALE
Practice Address - State:MA
Practice Address - Zip Code:02131-1629
Practice Address - Country:US
Practice Address - Phone:617-767-2793
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-05
Last Update Date:2009-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health