Healthcare Provider Details

I. General information

NPI: 1538024666
Provider Name (Legal Business Name): CORNERSTONE CARE & SUPPORT SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/20/2025
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9711 CHAPMAN TRL
MANVEL TX
77578-5381
US

IV. Provider business mailing address

9711 CHAPMAN TRL
MANVEL TX
77578-5381
US

V. Phone/Fax

Practice location:
  • Phone: 305-479-1129
  • Fax:
Mailing address:
  • Phone: 832-615-1039
  • Fax: 832-604-5340

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code305S00000X
TaxonomyPoint of Service
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number StateNULL
# 5
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: MS. KRISTAL HEMPHILL
Title or Position: MANAGING MEMEBER
Credential:
Phone: 305-479-1129