Organization Active NPI

Cornerstone Rehabilitation and Healthcare Center, LLC

  • Skilled Nursing Facility
  • Corinth, MS
National Provider Identifier
1245280916
Registry record updated Oct 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
500 Issued in MS
Legal business name
CORNERSTONE REHABILITATION AND HEALTHCARE CENTER, LLC
Practice address
302 Alcorn Dr
Corinth, MS 38834-6979
Phone
(662) 286-2286
Fax
(662) 286-2289
NPI assigned
May 11, 2006
Organization subpart
Yes
Parent organization
ARK MISSISSIPPI HOLDING COMPANY, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 17, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Michelle D Meer
Title
Vice President & Secretary
Phone
(629) 626-0000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 500 MS Primary

Addresses

Primary practice location

302 Alcorn Dr
Corinth, MS 38834-6979

Mailing address

302 Alcorn Dr
Corinth, MS 38834-6979
Phone (662) 286-2286

Other identifiers 1

IdentifierTypeStateIssuer
230068MedicaidMS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508198400000",
    "number": "1245280916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 ALCORN DR",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388346979",
            "telephone_number": "662-286-2286",
            "fax_number": "662-286-2289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 ALCORN DR",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388346979",
            "telephone_number": "662-286-2286",
            "fax_number": "662-286-2289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE REHABILITATION AND HEALTHCARE CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARK MISSISSIPPI HOLDING COMPANY, LLC",
        "enumeration_date": "2006-05-11",
        "last_updated": "2017-10-17",
        "status": "A",
        "authorized_official_last_name": "MEER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "VICE PRESIDENT & SECRETARY",
        "authorized_official_telephone_number": "629-626-0000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MS",
            "license": "500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "230068",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corinth, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.