Active NPI
Cornerstone Health Care of Palmyra, Inc.
- Skilled Nursing Facility
- Palmyra, TN
National Provider Identifier
1831177252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 192
- Legal business name
- CORNERSTONE HEALTH CARE OF PALMYRA, INC.
- Practice address
- 2727 Palmyra Rd
Palmyra, TN 37142-2051 - Phone
- (931) 326-5252
- Fax
- (931) 326-5585
- NPI assigned
- Jan 5, 2006
- 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
- Cyndi J Milenski
- Title
- President
- Phone
- (919) 467-6649
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | 192 | TN | |
| Skilled Nursing Facility | 314000000X | 192 | TN | Primary |
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | 192 | TN |
Addresses
Primary practice location
2727 Palmyra Rd
Palmyra, TN 37142-2051
Mailing address
2727 Palmyra Rd
Palmyra, TN 37142-2051
Phone (931) 326-5252
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7440300 | Other | TN | ICF MEDICAID |
| 7447034 | Other | TN | NEW DAWN ICF MEDICAID |
| 0445184 | Medicaid | TN |
Other names 1
- Palmyra Health Care Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136419200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1262563200000",
"number": "1831177252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2727 PALMYRA RD",
"city": "PALMYRA",
"state": "TN",
"postal_code": "371422051",
"telephone_number": "931-326-5252",
"fax_number": "931-326-5585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2727 PALMYRA RD",
"city": "PALMYRA",
"state": "TN",
"postal_code": "371422051",
"telephone_number": "931-326-5252",
"fax_number": "931-326-5585"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORNERSTONE HEALTH CARE OF PALMYRA, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-05",
"last_updated": "2010-01-04",
"status": "A",
"authorized_official_last_name": "MILENSKI",
"authorized_official_first_name": "CYNDI",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "919-467-6649"
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "TN",
"license": "192",
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "TN",
"license": "192",
"primary": true
},
{
"code": "315P00000X",
"taxonomy_group": "",
"desc": "Intermediate Care Facility, Intellectual Disabilities",
"state": "TN",
"license": "192",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ICF MEDICAID",
"identifier": "7440300",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW DAWN ICF MEDICAID",
"identifier": "7447034",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0445184",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Palmyra Health Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Palmyra, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.