Cornerstone Home Health, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

7759 Issued in OK

Legal business name

CORNERSTONE HOME HEALTH, INC.

Practice address

8370 NW 39TH Expy
Bethany, OK 73008-3011

Phone

(405) 354-5454

Fax

(405) 942-1555

NPI assigned

Jun 28, 2006

Last updated

Jun 26, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Balinda S Callison, ADMINISTRATOR

Title

President

Phone

(405) 354-5454

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1740217256. Details of each certification follow.

• CCN 377710 Home health agency · Active · Details

Home health agency certification: CCN 377710

Legal name

CORNERSTONE HOME HEALTH, INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Apr 25, 2007

Last certification

Dec 1, 2020

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Enrollment address

8370 NW 39TH Expy
Bethany, OK 73008-3011

Listed as

Cornerstone Home Health, Inc.CCN 377710 · All quality measures

Ownership

Proprietary

Certified

Apr 25, 2007

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

All disclosed owners & managing parties 2

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

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561507200000",
    "number": "1740217256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 N MERIDIAN AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731122817",
            "telephone_number": "405-354-5454",
            "fax_number": "405-942-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8370 NW 39TH EXPY",
            "city": "BETHANY",
            "state": "OK",
            "postal_code": "730083011",
            "telephone_number": "405-354-5454",
            "fax_number": "405-942-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-28",
        "last_updated": "2019-06-26",
        "status": "A",
        "authorized_official_last_name": "CALLISON",
        "authorized_official_first_name": "BALINDA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-354-5454",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OK",
            "license": "7759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200134590A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandon Joseph Cohlmia, DDS
• Alisa Cole, PT, DPT
• Jason Lyn Coles, M.S.,L.A.T., A.T.C.
• Hasani Brandon Cooks
• Tanesha Nicole Cooks
• Sarah Elizabeth Cossey
• Tifanie Cotton, LCSW
• Robert Couch, MD
• Lyndsay Cox
• Tami Crawford

• Home Health Agency in Bethany, OK
• Providers in Bethany, OK by specialty
• Home Health Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; 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.
• 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.