Provider Demographics
NPI:1619240520
Name:CORNERSTONE HEALTHCARE AGENCY LLC
Entity Type:Organization
Organization Name:CORNERSTONE HEALTHCARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT/ SECRETARY
Authorized Official - Prefix:MRS
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:EVELYN
Authorized Official - Last Name:TURPIN
Authorized Official - Suffix:
Authorized Official - Credentials:RN/CCM
Authorized Official - Phone:1405-919-6651
Mailing Address - Street 1:314 W MAIN ST
Mailing Address - Street 2:PO BOX 1000
Mailing Address - City:STROUD
Mailing Address - State:OK
Mailing Address - Zip Code:74079-3612
Mailing Address - Country:US
Mailing Address - Phone:191-896-8200
Mailing Address - Fax:191-896-8200
Practice Address - Street 1:314 W MAIN ST
Practice Address - Street 2:
Practice Address - City:STROUD
Practice Address - State:OK
Practice Address - Zip Code:74079-3612
Practice Address - Country:US
Practice Address - Phone:918-968-2002
Practice Address - Fax:918-968-2009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-23
Last Update Date:2012-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK7989251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health