Organization Active NPI

Cornerstone Healthcare Inc

Doing business as Cornerstone Home Health & Hospice

  • Home Health Agency
  • Murray, UT
National Provider Identifier
1194155010
Registry record updated Jun 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1194155010MedicaidUT

Other names 1

  • Cornerstone Home Health & Hospice Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Ownership & related parties

Change-of-ownership history 2

DateEventCounterparty
Dec 1, 2018 Change of OwnershipThis provider was the seller Symbii Home Health SouthCCN 467342, UT, NPI 1164901484
Dec 1, 2018 Change of OwnershipThis provider was the seller Symbii Hospice SouthCCN 461606, UT, NPI 1629591003

Change of ownership 2

Medicare changes of ownership in which this facility was the buyer or the seller.

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

Verify at the official NPI Registry.