Healthcare Provider Details

I. General information

NPI: 1275437501
Provider Name (Legal Business Name): CORNERSTONE CAREGIVING EAST LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1752 WINDSOR LAKE PKWY STE 203
LOVES PARK IL
61111-4276
US

IV. Provider business mailing address

2612 WASHINGTON AVE STE 1
WACO TX
76710-7469
US

V. Phone/Fax

Practice location:
  • Phone: 815-706-3811
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MICHAEL HILLMAN
Title or Position: FOUNDER
Credential:
Phone: 903-439-5177