Active NPI
Cornerstone Assisted Living
- Assisted Living Facility
- Eden, NC
National Provider Identifier
1891967923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- 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, 2008
- Organization subpart
- Yes
- Parent organization
- ANCHORED HUMAN SERVICES LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- Melinda Ann Collins, RN
- Community Care Health Partners PLLC (Dayspring Family Medicine)
- Community Care Health Partners PLLC
- Compassion Health Care Inc (James Austin Health Center)
- Cornerstone Assisted Living
- Cornerstone Family Care, LLC (Cornerstone Assisted Living)
- Lisa K Corum, OT/L
- Jennifer Lillie Coulson, DPT
- Angela Crawford
- Rikki Lynn Creech
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.