# CORNERSTONE ASSISTED LIVING

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Cornerstone Broadmoor
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720118342
- **Authorized official:** WILLIAM J SLATER (VICE PRESIDENT OF FINANCE)
- **Authorized official phone:** (316) 946-5215

## Contact information

- **Practice address:** 1240 N BROADMOOR AVE, WICHITA, KS 67206-3896
- **Practice address phone:** (316) 636-5101
- **Practice address fax:** (316) 636-2576
- **Mailing address:** 1240 N BROADMOOR AVE, WICHITA, KS 67206-3896
- **Mailing address phone:** (316) 636-5101
- **Mailing address fax:** (316) 636-2576

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | N087041 | KS | Yes |

## Other

- **Enumeration date:** 03/06/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200104501083 | — | KS |