Organization Active NPI

Cornerstone Hospice Care LLC

  • Community Based Hospice Care Agency
  • Mesquite, TX
National Provider Identifier
1285801670
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
CORNERSTONE HOSPICE CARE LLC
Practice address
3235 N Mesquite Dr
Mesquite, TX 75150-4044
Phone
(972) 200-7225
Fax
(888) 977-3370
NPI assigned
May 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

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

Authorized official

Name
Mr. Roy A. Koshy
Title
Vice President
Phone
(972) 951-1933

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

3235 N Mesquite Dr
Mesquite, TX 75150-4044

Mailing address

3235 N Mesquite Dr # 100
Mesquite, TX 75150-4044
Phone (972) 200-7225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090327000151 TX Part A Provider - Hospice 2163589623 Practice locations: Mesquite, TX

Hospice certification: CCN 671658

Legal name
CORNERSTONE HOSPICE CARE LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Sep 30, 2010
Last certification
May 17, 2021
Ownership / control type
Other
Organization structure
LLCProprietary
Enrollment address
3235 N Mesquite Dr
# 100
Mesquite, TX 75150-4044

Care Compare: Hospice

Medicare Care Compare
Listed as
Cornerstone Hospice Care LLCCCN 671658
Ownership
For-Profit
Certified
Sep 30, 2010
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1087228Cornerstone Hospice Care, LLC3235 N Mesquite Dr Suite 100, Mesquite, TX 75150Certificate of waiverJul 28, 2026

National Provider Directory

National Provider Directory

Locations

17776 Preston Rd
Ste 210B
Dallas, TX 75252
Phone (972) 200-7225

8001 LBJ
Ste 430
Dallas, TX 75251
Phone (972) 200-7225

2655 Villa Creek Dr
Ste 276A
Farmers Branch, TX 75234
Phone (972) 200-7225

3235 N Mesquite Dr
Mesquite, TX 75150
Phone (972) 200-7225

3235 N Mesquite Dr
#100
Mesquite, TX 75150
Phone (972) 200-7225

4712 Dexter Dr
Ste 100
Plano, TX 75093
Phone (214) 343-9831

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Renjith Finney Individual 5% Or Greater Direct Ownership InterestCfo Mar 5, 2019 50%
Corporate DirectorPresident Mar 5, 2019 50%
Operational/Managerial ControlPresident Mar 5, 2019 50%
Feba Finney Individual Corporate OfficerManagerial May 31, 2018
W-2 Managing EmployeeAdministrator Apr 17, 2018
Operational/Managerial ControlAdministrator Apr 17, 2018
James Holoman Individual W-2 Managing EmployeeAdministrator Oct 21, 2014
Thomas Jacob Individual 5% Or Greater Direct Ownership Interest Mar 5, 2019 50%
Corporate DirectorVP Mar 5, 2019 50%
Operational/Managerial ControlVice President Mar 5, 2019 50%
Aleyamma Koshy Individual Corporate Director Jul 20, 2008
W-2 Managing Employee Jul 20, 2008
Sally Jacob Individual W-2 Managing EmployeeDon Apr 26, 2018
Operational/Managerial ControlDon Apr 26, 2018 100%

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682899200000",
    "number": "1285801670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3235 N MESQUITE DR # 100",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751504044",
            "telephone_number": "972-200-7225",
            "fax_number": "888-977-3370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3235 N MESQUITE DR",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751504044",
            "telephone_number": "972-200-7225",
            "fax_number": "888-977-3370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE HOSPICE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A",
        "authorized_official_last_name": "KOSHY",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "972-951-1933",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

Verify at the official NPI Registry.