Provider Demographics
NPI:1205929502
Name:CORNERSTONE SENIOR SERVICES, INC.
Entity type:Organization
Organization Name:CORNERSTONE SENIOR SERVICES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:LEONARD
Authorized Official - Middle Name:DOUGLAS
Authorized Official - Last Name:SVIEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:254-968-4004
Mailing Address - Street 1:P.O. BOX 953
Mailing Address - Street 2:
Mailing Address - City:STEPHENVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76401
Mailing Address - Country:US
Mailing Address - Phone:254-968-4007
Mailing Address - Fax:254-965-8653
Practice Address - Street 1:2010 GOODTREE ST.
Practice Address - Street 2:
Practice Address - City:STEPHENVILLE
Practice Address - State:TX
Practice Address - Zip Code:76401
Practice Address - Country:US
Practice Address - Phone:254-965-9897
Practice Address - Fax:254-918-6033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility