Provider Demographics
NPI:1194968370
Name:CONERSTONE HOME HEALTH CARE INC.
Entity type:Organization
Organization Name:CONERSTONE HOME HEALTH CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:EMMANUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ASAFU-ADJAYE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:469-449-0080
Mailing Address - Street 1:524 TERESA LN
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75052-2813
Mailing Address - Country:US
Mailing Address - Phone:469-449-0080
Mailing Address - Fax:
Practice Address - Street 1:524 TERESA LN
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75052-2813
Practice Address - Country:US
Practice Address - Phone:469-449-0080
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-17
Last Update Date:2009-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health