Cornerstone Healthcare Inc
Organization Active NPI Home Health Agency · Murray, UT
NPI 1194155010 · NPPES record last updated Jun 16, 2015
Key facts
- NPI
- 1194155010
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- CORNERSTONE HEALTHCARE INC
- Practice address
- 5292 S College Dr
304
Murray, UT 84123-2991 - Phone
- (801) 716-7800
- Fax
- (877) 676-6599
- NPI assigned
- Nov 13, 2013
- Organization subpart
- No
Authorized official
- Name
- Deborah A Peters, RN
- Title
- Ceo
- Phone
- (801) 913-7913
Change of ownership 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Change-of-ownership history
| Date | Event | Counterparty |
|---|---|---|
| Dec 1, 2018 | Change of Ownership |
Symbii Home Health South |
| Dec 1, 2018 | Change of Ownership |
Symbii Hospice South |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes | ||
| Community Based Hospice Care Agency | 251G00000X | UT |
Addresses
Primary practice location
5292 S College Dr
304
Murray, UT 84123-2991
Mailing address
5292 S College Dr
304
Murray, UT 84123-2991
Phone (801) 716-7800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194155010 | Medicaid | UT |
Other names
- Cornerstone Home Health & Hospice
Other providers in Murray, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2015. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.