Healthcare Provider Details

I. General information

NPI: 1104769181
Provider Name (Legal Business Name): CORNERSTONE CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2026
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

351 W BEAU ST STE 301
WASHINGTON PA
15301-4663
US

IV. Provider business mailing address

7 GLASSWORKS RD
GREENSBORO PA
15338-9507
US

V. Phone/Fax

Practice location:
  • Phone: 724-228-7400
  • Fax:
Mailing address:
  • Phone: 724-943-3308
  • Fax: 724-943-3310

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: LORI BONALEWICZ
Title or Position: CREDENTIALING SPECIALIST
Credential:
Phone: 724-201-8330