Active NPI
Cornerstone Longwood Leasing, LLC
- Assisted Living Facility
- Longwood, FL
National Provider Identifier
1740799535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 5315
- Legal business name
- CORNERSTONE LONGWOOD LEASING, LLC
- Practice address
- 480 E. Church Ave.
Longwood, FL 32750 - Phone
- (407) 767-0500
- Fax
- (407) 767-5005
- NPI assigned
- Sep 25, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Shelby L Wolfrum
- Title
- Business Office Manager
- Phone
- (407) 767-0500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 5315 | FL | Primary |
Addresses
Primary practice location
480 E. Church Ave.
Longwood, FL 32750
Mailing address
480 E Church Ave
Longwood, FL 32750-4290
Phone (407) 767-0500
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506297600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1740799535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "480 E CHURCH AVE",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "327504290",
"telephone_number": "407-767-0500",
"fax_number": "407-767-5005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "480 E. CHURCH AVE.",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "32750",
"telephone_number": "407-767-0500",
"fax_number": "407-767-5005"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORNERSTONE LONGWOOD LEASING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-09-25",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "WOLFRUM",
"authorized_official_first_name": "SHELBY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
"authorized_official_telephone_number": "407-767-0500",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "FL",
"license": "5315",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Longwood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.