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NPI Code Detail

MEDICARE: CORNERSTONE HOME HEALTH CARE INC

MEDICARE: CORNERSTONE HOME HEALTH CARE INC
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency
2332B00000XDurable Medical Equipment & Medical Supplies
3342000000XTransportation Network Company

General Provider Information

NPI Number : 1871329003
Entity Type Code : Organization
Provider Name (Legal Business Name) : CORNERSTONE HOME HEALTH CARE INC
Provider Business Mailing Address
First Line : 2917 BRYANT AVE S STE 1
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55408-2160
Country : US
Telephone Number : 612-702-4541
Fax Number : 612-677-3132
Provider Business Practice Location Address
First Line : 2917 BRYANT AVE S STE 1
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55408-2160
Country : US
Telephone Number : 612-702-4541
Fax Number : 612-677-3132
Authorized Official
Title or Position : CEO
Name : JAMAAL AHMED SHIIL
Credential :
Telephone Number : 612-322-9413
Provider Enumeration Date : 09/12/2024
Last Update Date : 02/13/2026

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Directions to “CORNERSTONE HOME HEALTH CARE INC ” Practice Location

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