Cornerstone Health Care of Bolivar, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

116 Issued in TN

Legal business name

CORNERSTONE HEALTH CARE OF BOLIVAR, INC.

Doing business as

Pleasant View Health Care Center

Practice address

214 N Water St
Bolivar, TN 38008-2341

Phone

(731) 658-5287

Fax

(731) 658-6359

NPI assigned

Jan 5, 2006

Last updated

Apr 16, 2010By 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

Cynthia J Milenski

Title

President

Phone

(919) 859-2773

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Pleasant View Health Care Center Doing business as

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271376000000",
    "number": "1821076373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 N WATER ST",
            "city": "BOLIVAR",
            "state": "TN",
            "postal_code": "380082341",
            "telephone_number": "731-658-5287",
            "fax_number": "731-658-6359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 N WATER ST",
            "city": "BOLIVAR",
            "state": "TN",
            "postal_code": "380082341",
            "telephone_number": "731-658-5287",
            "fax_number": "731-658-6359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE HEALTH CARE OF BOLIVAR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-05",
        "last_updated": "2010-04-16",
        "status": "A",
        "authorized_official_last_name": "MILENSKI",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-859-2773"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "TN",
            "license": "116",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TN",
            "license": "116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0445352",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ICF MEDICAID",
            "identifier": "7440562",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pleasant View Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christian Care Center of Bolivar LLC
• Clark Family Clinic, LLC
• Peggy Clark, LMSW
• Candice Mignonne Cook, M.ED
• Lindsey Hendrix Cook, APRN
• Beth Anne Cossar
• Rubye Couchoud, APRN
• County of Hardeman (Hardeman County Ambulance Service)
• Drew Crews
• Avanti Cross-Brown, DNP, PMHNP, CARN-AP

• Skilled Nursing Facility in Bolivar, TN
• Providers in Bolivar, TN by specialty
• Skilled Nursing Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2010; 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.