Active NPI
E. E. Cornerstone Home Health, Inc
- Home Health Agency
- Grand Prairie, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- E. E. CORNERSTONE HOME HEALTH, INC
- Practice address
- 203 Longhorn TRL
Grand Prairie, TX 75052-3589 - Phone
- (214) 809-0449
- Fax
- (972) 854-6632
- NPI assigned
- Oct 21, 2009
- 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
- Caroline O Nwachukwu, NURSE
- Title
- Director
- Phone
- (214) 293-2196
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| Personal Care Attendant | 3747P1801X |
Addresses
Primary practice location
203 Longhorn TRL
Grand Prairie, TX 75052-3589
Mailing address
203 Longhorn TRL
Grand Prairie, TX 75052-3589
Phone (214) 809-0449
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111018000163 | TX | Part A Provider - Home Health Agency | 2163694159 | Practice locations: Grand Prairie, TX |
Home health agency certification: CCN 747759
- Legal name
- E. E. CORNERSTONE HOME HEALTH, INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Aug 31, 2012
- Last certification
- Aug 1, 2019
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Apr 1, 2008 in TX
- Enrollment address
- 203 Longhorn TRL
Grand Prairie, TX 75052-3589
Care Compare: Home health agency
Medicare Care Compare- Listed as
- E E Cornerstone Home Health Inc
- Ownership
- Proprietary
- Certified
- Aug 31, 2012
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2001915 | E E Cornerstone Home Health Inc | Certificate of waiver | Jan 3, 2028 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 1
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Caroline Onyekachi Nwachukwu | 5% Or Greater Direct Ownership Interest | Mar 30, 2011 | |
| W-2 Managing Employee | Mar 30, 2011 |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Grand Prairie, TX
- NPI 1871132225
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256083200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1496966400000",
"number": "1962738245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 LONGHORN TRL",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750523589",
"telephone_number": "214-809-0449",
"fax_number": "972-854-6632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 LONGHORN TRL",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750523589",
"telephone_number": "214-809-0449",
"fax_number": "972-854-6632"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "E. E. CORNERSTONE HOME HEALTH, INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-10-21",
"last_updated": "2017-06-09",
"status": "A",
"authorized_official_last_name": "NWACHUKWU",
"authorized_official_first_name": "CAROLINE",
"authorized_official_middle_name": "O",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "214-293-2196",
"authorized_official_credential": "NURSE"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "3747P1801X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Prairie, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.