Provider Demographics
NPI:1235263070
Name:CORNERSTONE HOME HEALTH, INC.
Entity Type:Organization
Organization Name:CORNERSTONE HOME HEALTH, INC.
Other - Org Name:CORNERSTONE HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT/ASST ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:HENRIQUES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-586-6838
Mailing Address - Street 1:8800 GLACIER HWY.
Mailing Address - Street 2:SUITE 111
Mailing Address - City:JUNEAU
Mailing Address - State:AK
Mailing Address - Zip Code:99801-8079
Mailing Address - Country:US
Mailing Address - Phone:907-586-6838
Mailing Address - Fax:907-586-8114
Practice Address - Street 1:8800 GLACIER HWY.
Practice Address - Street 2:SUITE 111
Practice Address - City:JUNEAU
Practice Address - State:AK
Practice Address - Zip Code:99801-8079
Practice Address - Country:US
Practice Address - Phone:907-586-6838
Practice Address - Fax:907-586-8114
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-15
Last Update Date:2021-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251X00000XAgenciesSupports Brokerage
Provider Identifiers
StateIdentifier IDID TypeIssuer
AK1028142Medicaid
AK1581941Medicaid
AK1028144Medicaid
AKPCG974Medicaid
AK1028296Medicaid