Healthcare Provider Details

I. General information

NPI: 1336065416
Provider Name (Legal Business Name): CORNERSTONE CAREGIVERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

275 INTERSTATE NORTH CIR SE STE 200
ATLANTA GA
30339-2561
US

IV. Provider business mailing address

275 INTERSTATE NORTH CIR SE STE 200
ATLANTA GA
30339-2561
US

V. Phone/Fax

Practice location:
  • Phone: 917-318-5635
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: CANDACE KOERBER
Title or Position: MANAGING MEMBER
Credential:
Phone: 917-318-5635