Cornerstone Post Acute Care of Bossier LLC

Primary specialty

Rehabilitation Hospital UnitTaxonomy code 273Y00000X

Legal business name

CORNERSTONE POST ACUTE CARE OF BOSSIER LLC

Doing business as

Cornerstone Post Acute Care of Bossier

Practice address

4900 Medical Dr
Bossier City, LA 71112-4521

Phone

(318) 841-5555

Fax

(318) 841-5563

NPI assigned

Jul 12, 2009

Organization subpart

No

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

Authorized official

Name

James Manning

Title

Director

Phone

(318) 841-5555

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Cornerstone Post Acute Care of Bossier Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Hospital certification: CCN 19TA06

Legal name

CORNERSTONE POST ACUTE CARE OF BOSSIER LLC

Doing business as

CORNERSTONE POST ACUTE CARE OF BOSSIER

Organization structure

LLCProprietary

Enrollment address

4900 Medical Dr
Bossier City, LA 71112-4521
Hospital Rehabilitation Unit

Hospital subgroups

Rehabilitation unit

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Cornerstone Post Acute Care of Bossier LLC

  • Skilled Nursing Facility
  • Bossier City, LA
  • NPI 1619629763

  2062931751

  Same PAC ID
• Cornerstone Post Acute Care of Bossier LLC

  • Long Term Care Hospital
  • Bossier City, LA
  • NPI 1982418646

  2062931751

  Same PAC ID

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William L Overdyke, MD

  • Orthopaedic Surgery Physician
  • Shreveport, LA
  • NPI 1295739001
  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• William L Overdyke, MD

  • Orthopaedic Surgery Physician
  • Shreveport, LA
  • NPI 1295739001

  Inpatient rehabilitation facility

  Care Compare affiliation

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

{
    "created_epoch": "1247356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745798400000",
    "number": "1720217755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 MEDICAL DR",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711124521",
            "telephone_number": "318-841-5555",
            "fax_number": "318-841-5563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 MEDICAL DR",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711124521",
            "telephone_number": "318-841-5555",
            "fax_number": "318-841-5563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE POST ACUTE CARE OF BOSSIER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-12",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A",
        "authorized_official_last_name": "MANNING",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "318-841-5555"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2700006",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cornerstone Post Acute Care of Bossier",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brittney Cooper
• Tanya Corbett
• Crystal Lea Corbin, LPC #3452
• Cornerstone Hospital of Bossier
• Cornerstone Post Acute Care of Bossier LLC
• Cornerstone Post Acute Care of Bossier LLC
• Chelsey Cotten, PT
• Ebony Cotton, PHARMD
• Council for Advancement of Social Service and Education
• Natasha Council

• Rehabilitation Hospital Unit in Bossier City, LA
• Providers in Bossier City, LA by specialty
• Rehabilitation Hospital Unit in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.