Organization Active NPI

E. E. Cornerstone Home Health, Inc

  • Home Health Agency
  • Grand Prairie, TX
National Provider Identifier
1962738245
Registry record updated Jun 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Jun 9, 2017

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

Authorized official

Name
Caroline O Nwachukwu, NURSENPI 1871132225
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)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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 IncCCN 747759
Ownership
Proprietary
Certified
Aug 31, 2012
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2001915E E Cornerstone Home Health Inc203 Longhorn Trail, Grand Prairie, TX 75052Certificate of waiverJan 3, 2028

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Caroline Onyekachi Nwachukwu Individual 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.

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

Verify at the official NPI Registry.