Active NPI
Cornerstone Hospice Care LLC
- Community Based Hospice Care Agency
- Mesquite, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- Enrollment address
- 3235 N Mesquite Dr
# 100
Mesquite, TX 75150-4044
Care Compare: Hospice
Medicare Care Compare- Listed as
- Cornerstone Hospice Care LLC
- Ownership
- For-Profit
- Certified
- Sep 30, 2010
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D1087228 | Cornerstone Hospice Care, LLC | Certificate of waiver | Jul 28, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Renjith Finney | 5% Or Greater Direct Ownership Interest | Mar 5, 2019 | 50% |
| Corporate Director | Mar 5, 2019 | 50% | |
| Operational/Managerial Control | Mar 5, 2019 | 50% | |
| Feba Finney | Corporate Officer | May 31, 2018 | |
| W-2 Managing Employee | Apr 17, 2018 | ||
| Operational/Managerial Control | Apr 17, 2018 | ||
| James Holoman | W-2 Managing Employee | Oct 21, 2014 | |
| Thomas Jacob | 5% Or Greater Direct Ownership Interest | Mar 5, 2019 | 50% |
| Corporate Director | Mar 5, 2019 | 50% | |
| Operational/Managerial Control | Mar 5, 2019 | 50% | |
| Aleyamma Koshy | Corporate Director | Jul 20, 2008 | |
| W-2 Managing Employee | Jul 20, 2008 | ||
| Sally Jacob | W-2 Managing Employee | Apr 26, 2018 | |
| Operational/Managerial Control | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.