MEDICARE: CORNERSTONE KEYS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251J00000X	Nursing Care Agency
2	310400000X	Assisted Living Facility
3	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1073468088
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CORNERSTONE KEYS LLC

Provider Business Mailing Address
First Line	:	8322 PINEVILLE MATTHEWS RD STE 602
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28226-4823
Country	:	US
Telephone Number	:	704-594-1275
Fax Number	:

Provider Business Practice Location Address
First Line	:	5953 PRESCOTT CT
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28269-1336
Country	:	US
Telephone Number	:	704-594-1275
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	CHINWE UGOEZI
Credential	:
Telephone Number	:	704-594-1275

Provider Enumeration Date	:	03/04/2026
Last Update Date	:	04/14/2026

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Directions to “CORNERSTONE KEYS LLC ” Practice Location

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