Cornerstone Community

Primary specialty

Nurse's AideTaxonomy code 376K00000X

Legal business name

CORNERSTONE COMMUNITY

Practice address

12125 Detillion Rd
Leavenworth, WA 98826-9171

Phone

(509) 888-3311

Fax

(509) 548-6727

NPI assigned

May 1, 2023

Organization subpart

No

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

Authorized official

Name

Carl J Florea, CNA

Title

Resident Manager

Phone

(509) 888-3311

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682899200000",
    "number": "1518656123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12125 DETILLION RD",
            "city": "LEAVENWORTH",
            "state": "WA",
            "postal_code": "988269171",
            "telephone_number": "509-888-3311",
            "fax_number": "509-548-6727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12125 DETILLION RD",
            "city": "LEAVENWORTH",
            "state": "WA",
            "postal_code": "988269171",
            "telephone_number": "509-888-3311",
            "fax_number": "509-548-6727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE COMMUNITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A",
        "authorized_official_last_name": "FLOREA",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "RESIDENT MANAGER",
        "authorized_official_telephone_number": "509-888-3311",
        "authorized_official_credential": "CNA"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelan County Public Hospital District No. 1
• Chelan County Public Hospital District No. 1
• Alan L Chilcoat, LMP
• Megan Christie
• Kurt S Conner, PA
• Lucca Criminale, PA-C
• Amy Cummings
• John R Deliduka, MD
• Deborah Deshazo
• Suzan Marie Dickinson, M.A., LMFT

• Nurse's Aide in Leavenworth, WA
• Providers in Leavenworth, WA by specialty
• Nurse's Aide in Washington

• 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 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.

Verify at the official NPI Registry.