Cornerstone Gardens L L P
Organization Active NPI Skilled Nursing Facility · Temple, TX
NPI 1124038690 · NPPES record last updated Aug 3, 2020
Key facts
- NPI
- 1124038690
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 125282 (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
- Organization subpart
- No
Authorized official
- Name
- Maura Panos
- Title
- Accountant
- Phone
- (817) 444-2516
Owners & managing parties with NPI records 1
-
Aval NA Ree Sian Green, M.D.
Facilities with the same owner 1
Practitioners 2
-
Aval NA Ree Sian Green, M.D.
-
Tametra Lashawn Jones, RN, MSN, NP-C
Affiliated clinicians 1
-
Aval NA Ree Sian Green, M.D.
Medicare Care Compare: Nursing home
- Listed as
- Cornerstone Gardens LLP
- 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
- Active
- Certified beds
- 130 · 102.1 residents per day on average
- Penalties (3 years)
- 1 · fines totaling $15,757
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
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
- Partnership · Proprietary
- Incorporated
- Mar 6, 2006 in TX
- Enrollment address
- 763 Marlandwood Rd
Temple, TX 76502-3573 - Nursing home name
- CORNERSTONE GARDENS LLP
All disclosed owners & managing parties 8
| Name | Role | Since | Share |
|---|---|---|---|
| Jason Arnold |
Corporate Officer |
Apr 1, 2008 | 100% |
| Adp of the SNF | Jan 23, 2025 | ||
| Raymond Montgomery |
Corporate Officer |
Apr 1, 2008 | 100% |
| Adp of the SNF | Jan 23, 2025 | ||
| Mitchell Todd Montgomery |
Corporate Officer |
Apr 1, 2008 | 100% |
| Adp of the SNF | Jan 23, 2025 | ||
| Ryan Holler |
W-2 Managing Employee |
Aug 8, 2011 | |
| Adp of the SNF | Jan 23, 2025 | ||
| Pamela Daniel |
W-2 Managing Employee |
Feb 13, 2014 | |
| Aval-NA'Ree S Green |
Contracted Managing Employee |
Apr 1, 2008 | |
| Adp of the SNF | Jan 23, 2025 | ||
| Oak Management |
General Partnership Interest | Apr 1, 2008 | 1% |
| Burmont, Inc. |
5% Or Greater Direct Ownership Interest | Apr 1, 2008 | 99% |
| Limited Partnership Interest | Apr 1, 2008 | 99% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080306000155 | TX | Part a Provider - Skilled Nursing Facility | 1355426925 | Practice locations: Temple, TX |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 125282 | TX | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005544 | Medicaid | TX |
Other providers in Temple, TX
- Ken-'Ja M Copper
- Jonathan Wesley Coppin
- Amanda Ann Corley
- Jeanelle Helise Cornelius
- Nathan Andrew Cornell
- Andrew Robert Corona
- Corine L Correa
- Bodie James Correll
- Irene Correll
- Judith Mosier Corrigan
All providers in Temple, TX · Skilled Nursing Facility in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 3, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.