Active NPI
Cornerstone Gardens L L P
- Skilled Nursing Facility
- Temple, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 125282
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Partnership
- 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 LLP
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Individual
- Certified
- Oct 17, 2008
- Medicare certification status
- Active
- Certified beds
- 130
- Penalties (3 years)
- 1
National Provider Directory
National Provider DirectoryLocations
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.
| 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% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Geriatric Medicine (Internal Medicine) Physician
- Houston, TX
- NPI 1932314846
Adp of the SNF, Contracted Managing Employee
Facilities with the same owner 1
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Azle Manor Health Care and Rehabilitation
- Skilled Nursing Facility
- Azle, TX
- NPI 1982609269
Burmont, Inc.
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Houston, TX
- NPI 1932314846
-
- Family Nurse Practitioner
- Houston, TX
- NPI 1477782936
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Houston, TX
- NPI 1932314846
Nursing home
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.