Christian Home for the Aged, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

289 Issued in TN

Legal business name

CHRISTIAN HOME FOR THE AGED, INC.

Doing business as

Cornerstone Village

Practice address

2012 Sherwood Drive
Johnson City, TN 37601-5230

Phone

(423) 232-8200

Fax

(423) 610-8515

NPI assigned

Oct 18, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Jeri Lynn Linthicum

Title

VP of Finance

Phone

(423) 610-8507

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Cornerstone Village Doing business as

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459987200000",
    "number": "1972684447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 SHERWOOD DRIVE",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376015230",
            "telephone_number": "423-232-8200",
            "fax_number": "423-610-8515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 SHERWOOD DRIVE",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376015230",
            "telephone_number": "423-232-8200",
            "fax_number": "423-610-8515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN HOME FOR THE AGED, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2016-04-07",
        "status": "A",
        "authorized_official_last_name": "LINTHICUM",
        "authorized_official_first_name": "JERI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "423-610-8507",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "TN",
            "license": "0289",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TN",
            "license": "289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7440022",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cornerstone Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Choice Counseling, LLC
• Karen Choquette, DPH
• Natalee Marion Chornak, PHARMD
• Christian Assisted Living of Johnson City LLC
• Christian Care Center of Johnson City, Inc.
• Felicia Christian
• Lori A Christian, CRNA
• Mary L Christian, FNP
• Melisha Dawn Christian, NP-C
• Christina L. Christiansen, D.C.

• Skilled Nursing Facility in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Skilled Nursing Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2016; 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.