Cornerstone Care Option, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CORNERSTONE CARE OPTION, INC.

Practice address

12640 SE Bush St
Portland, OR 97236-3423

Phone

(503) 761-6621

Fax

(503) 761-0861

NPI assigned

Jun 26, 2020

Organization subpart

Yes

Parent organization

CORNERSTONE CARE OPTION, INC.As reported in NPPES

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

Authorized official

Name

Mr. Kevin Scott McKay

Title

President/Owner

Phone

(503) 761-6621

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Cornerstone Residential Option Doing business as

Part of

Cornerstone Care Option

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Cornerstone Care Option

  • Nursing Facility/Intermediate Care Facility
  • Portland, OR
  • NPI 1437180486
  NPPES parent name

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

{
    "created_epoch": "1593129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593129600000",
    "number": "1669099586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12640 SE BUSH ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972363423",
            "telephone_number": "503-761-6621",
            "fax_number": "503-761-0861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12640 SE BUSH ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972363423",
            "telephone_number": "503-761-6621",
            "fax_number": "503-761-0861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE CARE OPTION, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CORNERSTONE CARE OPTION, INC.",
        "enumeration_date": "2020-06-26",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A",
        "authorized_official_last_name": "MCKAY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "503-761-6621",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1437180486",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cornerstone Residential Option",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cornell Family Dental
• Cornell Family Medicine
• Alexandra Gately Cornell, M.D.
• Corner Health Medical Group Northwest, P.C.
• Cornerstone Care Option
• Cornerstone Natural Medicine LLC
• Estonia Cornett
• Kelvina Cornett
• Patrick James Corning, D.M.D., MS
• Rachel Margaret Cornish

• Assisted Living Facility in Portland, OR
• Providers in Portland, OR by specialty
• Assisted Living Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2020; 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.