Organization Active NPI

Cornerstone Gardens L L P

  • Skilled Nursing Facility
  • Temple, TX
National Provider Identifier
1124038690
Registry record updated Aug 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
125282 Issued in TX
Legal business name
CORNERSTONE GARDENS L L P
Practice address
763 Marlandwood Rd
Temple, TX 76502-3573
Phone
(254) 771-5950
NPI assigned
Aug 8, 2006
Last updated
Aug 3, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2020

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

Authorized official

Name
Maura Panos
Title
Accountant
Phone
(817) 444-2516

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 125282 TX Primary

Addresses

Primary practice location

763 Marlandwood Rd
Temple, TX 76502-3573

Mailing address

7150 Gantt Access Rd
Azle, TX 76020-5638
Phone (817) 444-2516

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080306000155 TX Part A Provider - Skilled Nursing Facility 1355426925 Practice locations: Temple, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1124038690. Details of each certification follow.

Skilled nursing facility certification: CCN 676196

Legal name
CORNERSTONE GARDENS L L P
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Oct 17, 2008
Last certification
Apr 27, 2024
Beds
130
Ownership / control type
Individual
Multi-facility organization
Burmont Inc
Organization structure
PartnershipProprietary
Incorporated
Mar 6, 2006 in TX
Enrollment address
763 Marlandwood Rd
Temple, TX 76502-3573
Nursing home name
CORNERSTONE GARDENS LLP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Cornerstone Gardens LLPCCN 676196 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Individual
Certified
Oct 17, 2008
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
130102.1 residents per day on average
Penalties (3 years)
1Fines totaling $15,757

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

7150 Gantt Access Rd
Azle, TX 76020

Ownership & related parties

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jason Arnold Individual Corporate OfficerCoo Apr 1, 2008 100%
Adp of the SNF Jan 23, 2025
Raymond Montgomery Individual Corporate OfficerPresident Apr 1, 2008 100%
Adp of the SNF Jan 23, 2025
Mitchell Todd Montgomery Individual Corporate OfficerCoo Apr 1, 2008 100%
Adp of the SNF Jan 23, 2025
Ryan Holler Individual W-2 Managing EmployeeAd; Aug 8, 2011
Adp of the SNF Jan 23, 2025
Pamela Daniel Individual W-2 Managing EmployeeDirector of Nursing Feb 13, 2014
Aval-NA'Ree S Green Individual Contracted Managing EmployeeMD; Apr 1, 2008
Adp of the SNF Jan 23, 2025
Oak Management Organization, Azle, TX Corporation, For-profit General Partnership Interest Apr 1, 2008 1%
Burmont, Inc. Organization, Azle, TX Corporation, For-profit 5% Or Greater Direct Ownership Interest Apr 1, 2008 99%
Limited Partnership Interest Apr 1, 2008 99%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596412800000",
    "number": "1124038690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7150 GANTT ACCESS RD",
            "city": "AZLE",
            "state": "TX",
            "postal_code": "760205638",
            "telephone_number": "817-444-2516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "763 MARLANDWOOD RD",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765023573",
            "telephone_number": "254-771-5950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE GARDENS L L P",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A",
        "authorized_official_last_name": "PANOS",
        "authorized_official_first_name": "MAURA",
        "authorized_official_title_or_position": "ACCOUNTANT",
        "authorized_official_telephone_number": "817-444-2516"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "125282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple, TX

Sources for this page

Verify at the official NPI Registry.