Provider Demographics
NPI:1356840243
Name:CORNERSTONE HEALTHCARE SERVICES, INC.
Entity Type:Organization
Organization Name:CORNERSTONE HEALTHCARE SERVICES, INC.
Other - Org Name:INTABS
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:UCHE
Authorized Official - Middle Name:
Authorized Official - Last Name:EKENNA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-414-9645
Mailing Address - Street 1:PO BOX 12216
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27709-2216
Mailing Address - Country:US
Mailing Address - Phone:919-414-9645
Mailing Address - Fax:919-355-0022
Practice Address - Street 1:3201 YORKTOWN AVE STE 117B
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-1474
Practice Address - Country:US
Practice Address - Phone:919-300-0050
Practice Address - Fax:919-355-0022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-06
Last Update Date:2022-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC4914251J00000X
253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251J00000XAgenciesNursing Care