Cornerstone Healthcare LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

CORNERSTONE HEALTHCARE LLC

Practice address

1814 Westchester Dr Ste 203
High Point, NC 27262-7369

Phone

(336) 802-2025

Fax

(336) 802-2026

NPI assigned

May 23, 2019

Last updated

May 23, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Katherine Flynn Henry

Title

Chief Administrative Officer

Phone

(336) 716-1331

Specialties & licenses 1

Addresses

Other names 1

• WFHN Convenience Care Other name

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lori P Hvozdovic, PAC

  • Physician Assistant
  • Greensboro, NC
  • NPI 1578529608
  NPD
• Bethany Hunt Kassouf, PA-C

  • Medical Physician Assistant
  • Winston Salem, NC
  • NPI 1265752794
  NPD
• Samuel K Kolleh Jr., D.O

  • Family Medicine Physician
  • Pensacola, FL
  • NPI 1154635027
  NPD

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

{
    "created_epoch": "1558569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558569600000",
    "number": "1295392454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KIMEL FOREST DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036074",
            "telephone_number": "336-716-1331",
            "fax_number": "336-716-3202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1814 WESTCHESTER DR STE 203",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272627369",
            "telephone_number": "336-802-2025",
            "fax_number": "336-802-2026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-23",
        "last_updated": "2019-05-23",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "FLYNN",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "336-716-1331"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WFHN Convenience Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Cornerstone Health Care, PA (Cornerstone Premier Care)
• Cornerstone Health Care, PA (Cornerstone Behavioral Medicine Personalized Primary Care at Westchest)
• Cornerstone Health Care, PA (The Imaging Center - Quaker)
• Cornerstone Health Care, PA (Cornerstone Cardiology Associates)
• Cornerstone Health Care, PA (Piedmont Plastic Surgery)
• Cornerstone Healthcare LLC (Cornerstone Physical Therapy at Premier)
• Cornerstone Healthcare LLC (Cornerstone Comprehensive Wound Care Center)
• Kimberly Correa, RDN, LDN
• Richard Costello, PA-C
• Bambi Gibson Cottle, LPC

• Multi-Specialty Clinic/Center in High Point, NC
• Providers in High Point, NC by specialty
• Multi-Specialty Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.