Healthcare Provider Details

I. General information

NPI: 1710839089
Provider Name (Legal Business Name): CORNERSTONE CAREGIVING WEST LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2026
Last Update Date: 02/10/2026
Certification Date: 02/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

275 E DOUGLAS AVE STE 107
EL CAJON CA
92020-4546
US

IV. Provider business mailing address

2612 WASHINGTON AVE STE 1
WACO TX
76710-7469
US

V. Phone/Fax

Practice location:
  • Phone: 619-457-4799
  • Fax:
Mailing address:
  • Phone: 254-331-3521
  • Fax: 254-331-3521

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL HILLMAN
Title or Position: FOUNDER
Credential:
Phone: 254-503-5233