Cornerstone Assisted Living of Wylie

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CORNERSTONE ASSISTED LIVING OF WYLIE

Practice address

801 S Highway 78 BLDG B
Wylie, TX 75098-4006

Phone

(214) 554-8373

Fax

(972) 920-3399

NPI assigned

Aug 25, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Vimalkumar Shukla

Title

President

Phone

(214) 554-8373

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1661385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661385600000",
    "number": "1053030718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2217 CIMMARON DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750254795",
            "telephone_number": "214-554-8373",
            "fax_number": "972-920-3399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S HIGHWAY 78 BLDG B",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750984006",
            "telephone_number": "214-554-8373",
            "fax_number": "972-920-3399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE ASSISTED LIVING OF WYLIE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-25",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A",
        "authorized_official_last_name": "SHUKLA",
        "authorized_official_first_name": "VIMALKUMAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-554-8373",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Concord Healthcare Solutions PLLC
• Jaclyn Contreras
• Shanaci Cook, LPC-INTERN
• Cookies and Milk Lactation Services, LLC
• Gina W. Cooper
• Cornerstone Family Eyecare LLC
• Garry Drew Coronell, LPC-A
• Stephanie Correa, CERT.PHLEBOTOMIST
• Amanda Renee Cortez, LCSW
• Countrywide Transportation

• Assisted Living Facility in Wylie, TX
• Providers in Wylie, TX by specialty
• Assisted Living Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.