Healthcare Provider Details
I. General information
NPI: 1881511087
Provider Name (Legal Business Name): CORNERSTONE CAREGIVING EAST LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1001 GIBSON BAY DR STE 201
RICHMOND KY
40475-3544
US
IV. Provider business mailing address
2612 WASHINGTON AVE STE 1
WACO TX
76710-7469
US
V. Phone/Fax
- Phone: 859-544-2624
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MICHAEL
HILLMAN
Title or Position: FOUNDER
Credential:
Phone: 254-503-5233