CORNERSTONE BROADMOOR
NPI 1720118342
Assisted Living Facility in Wichita, KS

Active since March 06, 2007
1240 N BROADMOOR AVE, WICHITA, KS 67206(316) 636-5101(316) 636-2576 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cornerstone Broadmoor NPPES

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

CORNERSTONE BROADMOOR (NPI 1720118342) is a healthcare organization registered as an assisted living facility in Wichita, Kansas and active in the NPI registry since March 2007. The organization lists William J Slater, Vice President Of Finance, as its authorized official.

NPPES Registry Identity

NPI1720118342
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCORNERSTONE ASSISTED LIVING
Location Address1240 N BROADMOOR AVEWichita, KS 67206-3896
Mailing Address1240 N Broadmoor AveWichita, KS 67206-3896 · (316) 636-5101 · Fax (316) 636-2576
Fax(316) 636-2576
Organization SubpartNo
Authorized OfficialWilliam J SlaterVice President Of Finance · (316) 946-5215
Enumeration DateMarch 6, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1720118342 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

Other Names 1

Doing Business AsCornerstone Broadmoor

Other Identifiers 1

Medicaid200104501083KS

Other Providers at the Same Location NPPES

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

Assisted Living Facility
1240 N BROADMOOR AVE
WICHITA, KS 67206

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 1720118342. It was assigned to this organization in the NPPES registry on March 6, 2007. The provider is doing business 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.