Healthcare Provider Details

I. General information

NPI: 1508829045
Provider Name (Legal Business Name): CORNERSTONE VNA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2006
Last Update Date: 07/21/2020
Certification Date: 07/21/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

178 FARMINGTON RD
ROCHESTER NH
03867-4352
US

IV. Provider business mailing address

178 FARMINGTON RD
ROCHESTER NH
03867-4352
US

V. Phone/Fax

Practice location:
  • Phone: 603-332-1133
  • Fax: 603-335-6569
Mailing address:
  • Phone: 603-332-1133
  • Fax: 603-335-6569

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number02814
License Number StateNH
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code2278P3800X
TaxonomyPalliative/Hospice Certified Respiratory Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: JULIE ANN REYNOLDS
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: RN, MS
Phone: 603-332-1133