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CORNERSTONE BROADMOOR
NPI 1508911074
Assisted Living Facility in Wichita, KS

Active since January 24, 2007
1240 N BROADMOOR AVE, WICHITA, KS 67206(316) 636-5101 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cornerstone Broadmoor NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CORNERSTONE BROADMOOR (NPI 1508911074) is a healthcare organization registered as an assisted living facility in Wichita, Kansas and active in the NPI registry since January 2007. The organization lists Joanne Rogers, Administrator, as its authorized official.

NPPES Registry Identity

NPI1508911074
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCORNERSTONE ASSISTED LIVING
Location Address1240 N BROADMOOR AVEWichita, KS 67206-3896
Mailing Address2622 W Central AveWichita, KS 67203-4902 · (316) 636-5101
Phone(316) 636-5101
Organization SubpartNo
Authorized OfficialJoanne RogersAdministrator · (316) 636-5101
Enumeration DateJanuary 24, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1508911074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in KS · N087041
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
1240 N BROADMOOR AVE, Wichita, KS 67206
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Other Names 1

Other NameCornerstone Broadmoor

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 17D0917858

Cornerstone Broadmoor · Wichita, KS
Expired · Jul 28, 2026
CLIA Number17D0917858
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJuly 29, 2024
Certificate Expiration DateJuly 28, 2026
Laboratory DirectorNakisha Webster
Laboratory Phone(316) 636-5101
Laboratory LocationCornerstone Broadmoor1240 N Broadmoor Ave, Wichita, KS 67206
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CORNERSTONE ASSISTED LIVING
Assisted Living Facility
1240 N BROADMOOR AVE
WICHITA, KS 67206
Sedgwick County (316) 636-5101

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cornerstone Assisted Living's NPI number?

The NPI number for Cornerstone Assisted Living is 1508911074. It was assigned to this organization in the NPPES registry on January 24, 2007. The provider is also known as Cornerstone Broadmoor.

Where is Cornerstone Assisted Living located?

Cornerstone Assisted Living is located at 1240 N Broadmoor Ave, Wichita, KS 67206. The listed phone number is (316) 636-5101.

What is Cornerstone Assisted Living's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Cornerstone Assisted Living was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.