Organization Active NPI

Cornerstone Village South, Inc

  • Skilled Nursing Facility
  • Lafayette, LA
National Provider Identifier
1538356936
Registry record updated Sep 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
482 Issued in LA
Legal business name
CORNERSTONE VILLAGE SOUTH, INC
Practice address
103 W Martial Ave
Lafayette, LA 70508-6719
Phone
(337) 981-5335
NPI assigned
Sep 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2007

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

Authorized official

Name
Lance Linscombe
Title
Owner
Phone
(337) 981-5335

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 482 LA Primary

Addresses

Primary practice location

103 W Martial Ave
Lafayette, LA 70508-6719

Mailing address

103 W Martial Ave
Lafayette, LA 70508-6719
Phone (337) 981-5335

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
19D0900232Cornerstone Village South103 West Martial Avenue, Lafayette, LA 70508Certificate of waiverApr 19, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190937600000",
    "number": "1538356936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 W MARTIAL AVE",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086719",
            "telephone_number": "337-981-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 W MARTIAL AVE",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086719",
            "telephone_number": "337-981-5335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE VILLAGE SOUTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-28",
        "last_updated": "2007-09-28",
        "status": "A",
        "authorized_official_last_name": "LINSCOMBE",
        "authorized_official_first_name": "LANCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-981-5335"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "LA",
            "license": "482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2007; 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.