Organization Active NPI

Cornerstone Assisted Living

  • Assisted Living Facility
  • Eden, NC
National Provider Identifier
1891967923
Registry record updated Mar 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
CORNERSTONE ASSISTED LIVING
Practice address
424 Glovenia St
Eden, NC 27288-4844
Phone
(336) 349-3610
Fax
(336) 349-4531
NPI assigned
Mar 28, 2008
Last updated
Mar 28, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
ANCHORED HUMAN SERVICES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 28, 2008

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

Authorized official

Name
Mrs. Brenda L Gwynn
Title
Adminastrator
Phone
(336) 349-3610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

424 Glovenia St
Eden, NC 27288-4844

Mailing address

424 Glovenia St
Eden, NC 27288-4844
Phone (336) 349-3610

National Provider Directory

National Provider Directory
Part of
Cornerstone Assisted Living

NPI Registry JSON

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

{
    "created_epoch": "1206662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206662400000",
    "number": "1891967923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 GLOVENIA ST",
            "city": "EDEN",
            "state": "NC",
            "postal_code": "272884844",
            "telephone_number": "336-349-3610",
            "fax_number": "336-349-4531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 GLOVENIA ST",
            "city": "EDEN",
            "state": "NC",
            "postal_code": "272884844",
            "telephone_number": "336-349-3610",
            "fax_number": "336-349-4531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE ASSISTED LIVING",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ANCHORED HUMAN SERVICES LLC",
        "enumeration_date": "2008-03-28",
        "last_updated": "2008-03-28",
        "status": "A",
        "authorized_official_last_name": "GWYNN",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINASTRATOR",
        "authorized_official_telephone_number": "336-349-3610",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.