Provider Demographics
NPI:1285801670
Name:CORNERSTONE HOSPICE CARE LLC
Entity type:Organization
Organization Name:CORNERSTONE HOSPICE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROY
Authorized Official - Middle Name:A
Authorized Official - Last Name:KOSHY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-951-1933
Mailing Address - Street 1:3235 N MESQUITE DR # 100
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75150-4044
Mailing Address - Country:US
Mailing Address - Phone:972-200-7225
Mailing Address - Fax:888-977-3370
Practice Address - Street 1:3235 N MESQUITE DR
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75150-4044
Practice Address - Country:US
Practice Address - Phone:972-200-7225
Practice Address - Fax:888-977-3370
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-14
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based