Provider Demographics
NPI:1386907590
Name:CORNERSTONE HOSPICE INC
Entity type:Organization
Organization Name:CORNERSTONE HOSPICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SALEEM
Authorized Official - Middle Name:
Authorized Official - Last Name:SIDDIQUI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-855-4330
Mailing Address - Street 1:7035 ORCHARD LAKE RD
Mailing Address - Street 2:SUITE 750
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48322-3674
Mailing Address - Country:US
Mailing Address - Phone:248-855-4330
Mailing Address - Fax:248-855-4330
Practice Address - Street 1:7035 ORCHARD LAKE RD
Practice Address - Street 2:SUITE 750
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48322-3674
Practice Address - Country:US
Practice Address - Phone:248-855-4330
Practice Address - Fax:248-855-4330
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-21
Last Update Date:2012-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based