CORNERSTONE ASSISTED LIVING
NPI 1720495161
Assisted Living Facility in Eden, NC
- Organization
- Assisted Living Facility
About CORNERSTONE ASSISTED LIVING
This page provides the complete NPI Profile along with additional information for Cornerstone Assisted Living, a provider established in Eden, North Carolina operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1720495161 assigned on July 2014. The practitioner's primary taxonomy code is 310400000X with license number FCL079097 (NC). The provider is registered as an organization and their NPI record was last updated 12 years ago. The provider's is doing business as Cornerstone Assisted Living. The authorized official of this NPI record is Mrs. Brenda Lawson Gwynn (Owner/administrator)
- NPI
- 1720495161 Verify this NPI
- Provider Legal Name
- CORNERSTONE FAMILY CARE, LLC
- Other Organization Name
- CORNERSTONE ASSISTED LIVING
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 424 GLOVENIA ST EDEN, NC 27288
- Location Phone
- (336) 349-3610
- Location Fax
- (336) 342-4473
- Mailing Address
- PO BOX 2361 REIDSVILLE, NC 27323
- Mailing Phone
- (336) 349-3610
- Mailing Fax
- (336) 342-4473
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-17-2014
- Last Update Date
- 07-17-2014
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Assisted Living Facility
- Taxonomy Code
- 310400000X
- Type
- Nursing & Custodial Care Facilities
- License No.
- FCL079097
- License State
- NC
- Taxonomy Description
- 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.
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Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720495161, enumerated as an "organization" on July 17, 2014.
The provider is located at 424 GLOVENIA ST EDEN, NC 27288 and the phone number is (336) 349-3610.
Assisted Living Facility with taxonomy code 310400000X.
