Organization Active NPI

Cornerstone Hospice Inc.

  • Community Based Hospice Care Agency
  • Colton, CA
National Provider Identifier
1871594705
Registry record updated Mar 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
CORNERSTONE HOSPICE INC.
Practice address
1461 E Cooley Dr
Suite 220
Colton, CA 92324-3921
Phone
(909) 872-8100
Fax
(909) 872-8106
NPI assigned
Aug 2, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2008

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

Authorized official

Name
Mr. Blaine Whitson, MSW
Title
Administrator
Phone
(909) 872-8100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X CA Primary

Addresses

Primary practice location

1461 E Cooley Dr
Suite 220
Colton, CA 92324-3921

Mailing address

1461 E Cooley Dr
Suite 220
Colton, CA 92324-3921
Phone (909) 872-8100

Other identifiers 1

IdentifierTypeStateIssuer
HPC01767FMedicaidCA

National Provider Directory

National Provider Directory

Locations

1550 E Missouri Ave
Ste 202
Phoenix, AZ 85014
Phone (602) 263-0925

7310 N 16th St
#200A
Phoenix, AZ 85020
Phone (602) 263-0925

1461 E Cooley Dr
Ste 220
Colton, CA 92324
Phone (909) 872-8100

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205107200000",
    "number": "1871594705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1461 E COOLEY DR",
            "address_2": "SUITE 220",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923243921",
            "telephone_number": "909-872-8100",
            "fax_number": "909-872-8106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1461 E COOLEY DR",
            "address_2": "SUITE 220",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923243921",
            "telephone_number": "909-872-8100",
            "fax_number": "909-872-8106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE HOSPICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-02",
        "last_updated": "2008-03-10",
        "status": "A",
        "authorized_official_last_name": "WHITSON",
        "authorized_official_first_name": "BLAINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "909-872-8100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HPC01767F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; 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.