Organization Active NPI

MRC Cornerstone

  • Skilled Nursing Facility
  • Texarkana, TX
National Provider Identifier
1942200852
Registry record updated May 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
MRC CORNERSTONE
Practice address
4100 Moores LN
Texarkana, TX 75503-5102
Phone
(903) 831-2968
Fax
(903) 832-5553
NPI assigned
Jul 21, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2020

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

Authorized official

Name
Mr. Don Stephens
Title
Treasurer/Cfo
Phone
(281) 210-0138

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 113743 TX
Skilled Nursing Facility 314000000X 113743 TX
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

4100 Moores LN
Texarkana, TX 75503-5102

Mailing address

1440 Lake Front Circle Suite 140
The Woodlands, TX 77380
Phone (281) 210-0138

Other identifiers 1

IdentifierTypeStateIssuer
001025701MedicaidTX

Other names 1

  • Cornerstone Retirement Community Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130529000864 TX Part A Provider - Skilled Nursing Facility 8628216819 Practice locations: Texarkana, TX

Skilled nursing facility certification: CCN 676359

Legal name
MRC CORNERSTONE
Doing business as
CORNERSTONE RETIREMENT COMMUNITY
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Apr 23, 2014
Last certification
Nov 6, 2024
Beds
40
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Methodist Retirement Community
Organization structure
CorporationNon-profit
Incorporated
Aug 4, 1994 in TX
Enrollment address
4100 Moores LN
Cornerstone Retirement Community
Texarkana, TX 75503-5102
Nursing home name
CORNERSTONE RETIREMENT COMMUNITY
Affiliated entity
METHODIST RETIREMENT COMMUNITIES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Cornerstone Retirement CommunityCCN 676359
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Apr 23, 2014
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4032.0 residents per day on average
Chain
Methodist Retirement Communities6 facilities in the chain
Penalties (3 years)
1Fines totaling $39,764

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Cornerstone Retirement Community2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 27

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Individual Adp of the SNF Mar 1, 2024
Alicia Besser Individual Corporate DirectorBoard Member Jul 1, 2024
Kip Gilts Individual Corporate DirectorBoard Member Jul 1, 2020
Donald Stephens Individual Corporate OfficerTreasurer/Cfo Jan 7, 2015
Walter Woodward Individual Corporate DirectorBoard Member Jul 1, 2024
Truist Bank Organization, Atlanta, GA Financial institution 5% Or Greater Mortgage Interest Dec 6, 2019
Richard Morgan Individual Corporate DirectorBoard Member Jul 1, 2017
Romonica Malone-Wardley Individual Corporate DirectorBoard Member Jul 1, 2023
William King Individual Corporate DirectorBoard Member Jan 1, 2018
Alan Dwight Brown Individual Corporate OfficerPresident & Ceo Apr 13, 2020
Corporate DirectorBoard Member Without Vote Apr 13, 2020
Amy Thomas Individual Operational/Managerial ControlVP of Operations Apr 1, 2018
Billy Williamson Individual Corporate DirectorBoard Member Jul 1, 2010
Organization, Minneapolis, MN Consulting firm Adp of the SNF Jul 31, 2025
Dale D Conger Individual Corporate DirectorBoard Member Feb 21, 2020
Ed Simmons Individual Corporate DirectorBoard Member Feb 10, 2023
Organization, Homosassa, FL Corporation, Medical provider/supplier Adp of the SNF Jul 31, 2025
James S Bunch Individual Corporate DirectorBoard Member Aug 13, 2020
Matthew Currie Individual Corporate OfficerCoo Aug 21, 2025
Alyce Baggett Individual Corporate DirectorBoard Member Jul 1, 2013
Sydney Elmore Individual Operational/Managerial Control Apr 1, 2024
Adp of the SNF Apr 1, 2024
Organization, Charlotte, NC Corporation Adp of the SNF Aug 29, 2025
William a Koerner Individual Corporate DirectorBoard Member Feb 21, 2020
MRC Cornerstone Organization, Texarkana, TX Corporation, Non-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Apr 23, 2014 100%
The Aldersgate Trust Organization, The Woodlands, TX Created for acquisition, Corporation, Non-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 11, 2010 100%
Adp of the SNF Jun 11, 2010
Charles Lewis Individual Operational/Managerial Control Mar 18, 2024
Todd K. Partin Individual Operational/Managerial Control Feb 28, 2013
Frankie F Watson Individual Corporate DirectorBoard Member Nov 12, 2021

Facilities with the same owner 4

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589155200000",
    "number": "1942200852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 LAKE FRONT CIRCLE SUITE 140",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "77380",
            "telephone_number": "281-210-0138",
            "fax_number": "281-292-6360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 MOORES LN",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755035102",
            "telephone_number": "903-831-2968",
            "fax_number": "903-832-5553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MRC CORNERSTONE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-21",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "DON",
        "authorized_official_title_or_position": "TREASURER/CFO",
        "authorized_official_telephone_number": "281-210-0138",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "TX",
            "license": "113743",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "113743",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001025701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cornerstone Retirement Community",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cornerstone Retirement Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Texarkana, TX

Sources for this page

Verify at the official NPI Registry.