Provider Demographics
NPI:1962738245
Name:E. E. CORNERSTONE HOME HEALTH, INC
Entity type:Organization
Organization Name:E. E. CORNERSTONE HOME HEALTH, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CAROLINE
Authorized Official - Middle Name:O
Authorized Official - Last Name:NWACHUKWU
Authorized Official - Suffix:
Authorized Official - Credentials:NURSE
Authorized Official - Phone:214-293-2196
Mailing Address - Street 1:203 LONGHORN TRL
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75052-3589
Mailing Address - Country:US
Mailing Address - Phone:214-809-0449
Mailing Address - Fax:972-854-6632
Practice Address - Street 1:203 LONGHORN TRL
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75052-3589
Practice Address - Country:US
Practice Address - Phone:214-809-0449
Practice Address - Fax:972-854-6632
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-21
Last Update Date:2017-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty