Active NPI
Cornerstone Healthcare Inc
Doing business as Cornerstone Home Health & Hospice
- Home Health Agency
- Murray, UT
National Provider Identifier
1194155010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- CORNERSTONE HEALTHCARE INC
- Doing business as
- Cornerstone Home Health & Hospice
- Practice address
- 5292 S College Dr
304
Murray, UT 84123-2991 - Phone
- (801) 716-7800
- Fax
- (877) 676-6599
- NPI assigned
- Nov 13, 2013
- Last updated
- Jun 16, 2015
- 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
- Deborah A Peters, RN
- Title
- Ceo
- Phone
- (801) 913-7913
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| 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 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194155010 | Medicaid | UT |
Other names 1
- Cornerstone Home Health & Hospice
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider DirectoryOwnership & related parties
Change-of-ownership history 2
| Date | Event | Counterparty |
|---|---|---|
| Dec 1, 2018 | Change of Ownership | Symbii Home Health South |
| Dec 1, 2018 | Change of Ownership | Symbii Hospice South |
Change of ownership 2
Medicare changes of ownership in which this facility was the buyer or the seller.
-
dba Symbii Home Health South
- Home Health Agency
- Murray, UT
- NPI 1164901484
Sold to, 2018-12-01
-
dba Symbii Hospice South
- Community Based Hospice Care Agency
- Murray, UT
- NPI 1629591003
Sold to, 2018-12-01
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384300800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1434412800000",
"number": "1194155010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5292 S COLLEGE DR",
"address_2": "304",
"city": "MURRAY",
"state": "UT",
"postal_code": "841232991",
"telephone_number": "801-716-7800",
"fax_number": "877-676-6599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5292 S COLLEGE DR",
"address_2": "304",
"city": "MURRAY",
"state": "UT",
"postal_code": "841232991",
"telephone_number": "801-716-7800",
"fax_number": "877-676-6599"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORNERSTONE HEALTHCARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2013-11-13",
"last_updated": "2015-06-16",
"status": "A",
"authorized_official_last_name": "PETERS",
"authorized_official_first_name": "DEBORAH",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "801-913-7913",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "UT",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1194155010",
"state": "UT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Cornerstone Home Health & Hospice",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Murray, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.