Provider Demographics
NPI:1316304199
Name:CORNERSTONE HOME CARE & TRAINING ACADEMY LLC
Entity type:Organization
Organization Name:CORNERSTONE HOME CARE & TRAINING ACADEMY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GBEMIGA
Authorized Official - Middle Name:
Authorized Official - Last Name:OLADEJI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:862-400-1839
Mailing Address - Street 1:27 EMILY AVE
Mailing Address - Street 2:
Mailing Address - City:VAUXHALL
Mailing Address - State:NJ
Mailing Address - Zip Code:07088-1005
Mailing Address - Country:US
Mailing Address - Phone:862-400-1839
Mailing Address - Fax:908-333-3110
Practice Address - Street 1:27 EMILY AVE
Practice Address - Street 2:
Practice Address - City:VAUXHALL
Practice Address - State:NJ
Practice Address - Zip Code:07088-1005
Practice Address - Country:US
Practice Address - Phone:862-400-1839
Practice Address - Fax:908-333-3110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-25
Last Update Date:2016-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health