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General NPI Number Information
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NPI Number | 1922965466
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Entity Type | Organization
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Legal Business Name | CORNERSTONE CAREGIVING WEST LLC
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Dates
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Enumeration Date | 01/07/2026
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 1630 23RD AVE STE 701B
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City | LEWISTON
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State | ID
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Zip | 83501-6350
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Country | US
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Telephone | 208-717-3889
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Fax |
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Provider Business Mailing Address
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Address Line | 2612 WASHINGTON AVE STE 1
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City | WACO
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State | TX
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Zip | 76710-7469
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | MICHAEL HILLMAN
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Credential |
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Telephone | 254-503-5233
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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