Organization Active NPI

Cornerstone Home Care LLC

  • In Home Supportive Care Agency
  • Philadelphia, PA
National Provider Identifier
1477264935
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
CORNERSTONE HOME CARE LLC
Practice address
199 E Tabor Rd
Philadelphia, PA 19120-3034
Phone
(215) 900-6049
NPI assigned
Dec 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2022

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

Authorized official

Name
Ebony Brice
Title
President
Phone
(215) 900-6049

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

199 E Tabor Rd
Philadelphia, PA 19120-3034

Mailing address

199 E Tabor Rd
Philadelphia, PA 19120-3034
Phone (215) 900-6049

National Provider Directory

National Provider Directory

Locations

199 E Tabor Rd
Philadelphia, PA 19120
Phone (215) 900-6049

NPI Registry JSON

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

{
    "created_epoch": "1670284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670284800000",
    "number": "1477264935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 E TABOR RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191203034",
            "telephone_number": "215-900-6049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 E TABOR RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191203034",
            "telephone_number": "215-900-6049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-06",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A",
        "authorized_official_last_name": "BRICE",
        "authorized_official_first_name": "EBONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-900-6049"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; 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.