Provider Demographics
NPI:1205447497
Name:CORNERSTONE HEALTHCARE SVCS INC
Entity type:Organization
Organization Name:CORNERSTONE HEALTHCARE SVCS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:GILBERT
Authorized Official - Middle Name:NDUKWE
Authorized Official - Last Name:AKANNO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-928-5845
Mailing Address - Street 1:PO BOX 3560
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21214-0560
Mailing Address - Country:US
Mailing Address - Phone:443-928-5845
Mailing Address - Fax:877-325-2950
Practice Address - Street 1:6315 HARFORD RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21214-1317
Practice Address - Country:US
Practice Address - Phone:443-653-9173
Practice Address - Fax:877-325-2950
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-12
Last Update Date:2022-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No251E00000XAgenciesHome Health