Is CORNERSTONE HEALTHCARE, INC. active?

Yes — the California registry lists CORNERSTONE HEALTHCARE, INC. as active, as of the 2026-07-17 source snapshot. The status is republished verbatim from the Secretary of State record.

Where is CORNERSTONE HEALTHCARE, INC. registered?

CORNERSTONE HEALTHCARE, INC. is registered in California under company number 4130099, first registered on March 14, 2018.

What type of company is CORNERSTONE HEALTHCARE, INC.?

CORNERSTONE HEALTHCARE, INC. is registered as a corporation with the California Secretary of State.

Where is CORNERSTONE HEALTHCARE, INC. registered to do business?

Beyond its California registration, linked records — same legal name plus a shared officer, agent, address or home state — appear in 2 other state registers, including 1 foreign qualification in Idaho. Each is listed in the filings section above.

Who are the officers and directors of CORNERSTONE HEALTHCARE, INC.?

The California registry lists 7 people for CORNERSTONE HEALTHCARE, INC.: Michael Magette (officer), BRIAN WAYMENT (officer), Elliot McMillan (officer), John Gochnour (officer), Amber Tueller (officer), Lee Johnson (officer), Brent Mills (officer). The full list is in the officers & directors section above.

How many employees does CORNERSTONE HEALTHCARE, INC. have?

CORNERSTONE HEALTHCARE, INC. reports a workforce of 100 to 499 employees in its E-Verify enrollment with USCIS, hiring at 1 site in Minnesota (last updated 15 March 2021). Workforce size is self-reported by the employer at enrollment.

Does CORNERSTONE HEALTHCARE, INC. have UCC liens?

No UCC financing statements name CORNERSTONE HEALTHCARE, INC. as debtor in the indexed state registries.

In which states is CORNERSTONE HEALTHCARE, INC. registered with the Secretary of State?

CORNERSTONE HEALTHCARE, INC. appears in 3 state business registers: California, Idaho, Nevada. California is the home registration; the rest are foreign qualifications or linked filings, each listed in the filings section above.

Is CORNERSTONE HEALTHCARE, INC. a federal contractor?

No federal contract awards or SAM.gov recipient records are matched to CORNERSTONE HEALTHCARE, INC. in the indexed federal datasets.

Does CORNERSTONE HEALTHCARE, INC. hold any licenses?

13 license and credential records are matched to CORNERSTONE HEALTHCARE, INC. (8 state, 5 federal). Each license, its type and issuing authority is listed in the Licenses section above.

What public records are linked to CORNERSTONE HEALTHCARE, INC.?

18 public records are linked to CORNERSTONE HEALTHCARE, INC.: 1 in Filings, 13 in Licenses & authorities, 1 in Loans, 3 in E-Verify — matched across federal, state and municipal registers by its registered legal names.

Where does this data come from?

Every fact on this profile is republished from official public registers — Secretary of State filings, UCC indexes and federal datasets. Each section names its issuing register and the snapshot Netstate last retrieved (latest: 2026-07-17).

CORNERSTONE HEALTHCARE, INC. — California Corporation No. 4130099: Active, 1 filing

CORNERSTONE HEALTHCARE, INC. is a California corporation, registered on March 14, 2018. It is based at 1675 E. RIVERSIDE DRIVE, SUITE 150, EAGLE, ID, 83616, United States. The company is currently listed as active on the California register and is registered under company number 4130099. Its officers and directors on record include Michael Magette, BRIAN WAYMENT, Elliot McMillan, among 7 on file. Its E-Verify enrollment reports a workforce of 100 to 499 employees, hiring at 1 site in Minnesota. Public records for the company include 1 SoS registration, 8 licenses, 1 loan record, 3 E-Verify records and 5 Medicare provider records. Every fact here is republished from an official public register and traces back to a primary source document.

Legal entity name	CORNERSTONE HEALTHCARE, INC.
Principal address	1675 E. RIVERSIDE DRIVE, SUITE 150EAGLE83616IDUnited States
Mailing address	1675 E. RIVERSIDE DRIVE, SUITE 150, EAGLE, ID, 83616, US
Registration state	California
Status	Active
Formed in	Nevada (foreign registration)
Home company	CORNERSTONE HEALTHCARE, INC. · Active
Registered	14 March 2018 (over 8 years ago)
Officers & directors	Michael Magette, officer

Entity type	Corporation

Standing	compliant

Company number	4130099

Workforce size	100 to 499 employees · updated 15 March 2021

Hiring sites	1 site in Minnesota

Registered agent	UNIVERSAL REGISTERED AGENTS, INC

Source registry	California Secretary of State · updated 10 August 2026

Public records	1 SoS registration

SBA loans	$75K · approved amounts

State	Business name	Filed	Registered agent	Officers	Status
CaliforniaTHIS	CORNERSTONE HEALTHCARE, INC.	2018-03-14	UNIVERSAL REGISTERED AGENTS, INC	Michael MagetteOfficerBRIAN WAYMENTOfficer5 more	Active
Filing ID 4130099 Jurisdiction Foreign · CorporationFormed in Nevada Principal address 1675 E. RIVERSIDE DRIVE, SUITE 150, EAGLE, ID, 83616, United States Registered agent UNIVERSAL REGISTERED AGENTS, INC12900 METCALF AVENUE, SUITE 140, OVERLAND PARK, KS, 66213 Officers Michael MagetteOfficer BRIAN WAYMENTOfficer Elliot McMillanOfficer John GochnourOfficer Amber TuellerOfficer Lee JohnsonOfficer Brent MillsOfficer
Idaho	CORNERSTONE HEALTHCARE, INC.	2009-12-31	NATIONAL REGISTERED AGENTS, INC	Elliot McMillanDirectorJohn GochnourDirector, Officer7 more	Active
Filing ID 0000561075 Jurisdiction Foreign · CorporationFormed in Nevada Principal address 1675 E RIVERSIDE DR, STE 150, EAGLE, ID, 83616-7584, USA Registered agent NATIONAL REGISTERED AGENTS, INC1555 W SHORELINE DR, STE 100, BOISE, ID, 83702 Officers Elliot McMillanDirector John GochnourDirector, Officer Amber TuellerDirector, Officer Michael MagetteOfficer DANIEL H WALKERDirector BRIAN WAYMENTDirector Brent GuerisoliDirector Lee JohnsonDirector Brent MillsDirector Open profile
Nevada	CORNERSTONE HEALTHCARE, INC.	2009-12-24	UNIVERSAL REGISTERED AGENTS, INC	BRENT GUERISOLIDirectorBrent MillsOfficer2 more	Active

State	License / ID	Type	Issued	Status
Georgia	4331	Professional License	2018-01-01	Renewed
address CountryTypeId: 0 · CountryTypeName: US · AddressLine1: 1020 · AddressLine2: KEITH DR · AddressTypeName: Location · IsMain: true · FullAddress: 1020 KEITH DR address display 1020 KEITH DR apply date 2011-09-23T00:00:00 business id 07B44C08-29B3-439C-8DA6-70F7911B497E business status Active business type name — case id 3021BFCD-D441-4538-9AE2-BE0F181D3771 case number 4331 case status Renewed case status id — case type Professional License case type id — case workclass Professional case workclass id — closed date — company name CORNERSTONE HEALTHCARE INC company type name Corporation complete date — dba PERRY SPINE AND WELLNESS description — expected end date — expire date 2018-12-31T00:00:00 final date — holder company name — holder first name — holder last name — holder middle name — issue date 2018-01-01T00:00:00 last audit date — license year — main parcel — module name 8 opened date 2011-09-23T00:00:00 project name — request date — schedule date — start date — tax id — Source: perry ga business licenses · document dtx-licenses/e6ac5fcafccb742ec6f451ea
Georgia	4331	Professional License	2017-01-01	Renewed
address CountryTypeId: 0 · CountryTypeName: US · AddressLine1: 1020 · AddressLine2: KEITH DR · AddressTypeName: Location · IsMain: true · FullAddress: 1020 KEITH DR address display 1020 KEITH DR apply date 2011-09-23T00:00:00 business id 07B44C08-29B3-439C-8DA6-70F7911B497E business status Active business type name — case id 91D6B708-3834-4701-B574-85F29A2C8A8B case number 4331 case status Renewed case status id — case type Professional License case type id — case workclass Professional case workclass id — closed date — company name CORNERSTONE HEALTHCARE INC company type name Corporation complete date — dba PERRY SPINE AND WELLNESS description — expected end date — expire date 2017-12-31T00:00:00 final date — holder company name — holder first name — holder last name — holder middle name — issue date 2017-01-01T00:00:00 last audit date — license year — main parcel — module name 8 opened date 2011-09-23T00:00:00 project name — request date — schedule date — start date — tax id — Source: perry ga business licenses · document dtx-licenses/afc826260a962ad949e0d58b
Georgia	4331	Professional License	2016-01-01	Renewed
address CountryTypeId: 0 · CountryTypeName: US · AddressLine1: 1020 · AddressLine2: KEITH DR · AddressTypeName: Location · IsMain: true · FullAddress: 1020 KEITH DR address display 1020 KEITH DR apply date 2011-09-23T00:00:00 business id 07B44C08-29B3-439C-8DA6-70F7911B497E business status Active business type name — case id BF194040-3255-40FF-A822-3ABBD5F57D0A case number 4331 case status Renewed case status id — case type Professional License case type id — case workclass Professional case workclass id — closed date — company name CORNERSTONE HEALTHCARE INC company type name Corporation complete date — dba PERRY SPINE AND WELLNESS description — expected end date — expire date 2016-12-31T00:00:00 final date — holder company name — holder first name — holder last name — holder middle name — issue date 2016-01-01T00:00:00 last audit date — license year — main parcel — module name 8 opened date 2011-09-23T00:00:00 project name — request date — schedule date — start date — tax id — Source: perry ga business licenses · document dtx-licenses/26b49208033273179a9baaca
Georgia	4331	Professional License	2015-01-01	Renewed
address CountryTypeId: 0 · CountryTypeName: US · AddressLine1: 1020 · AddressLine2: KEITH DR · AddressTypeName: Location · IsMain: true · FullAddress: 1020 KEITH DR address display 1020 KEITH DR apply date 2011-09-23T00:00:00 business id 07B44C08-29B3-439C-8DA6-70F7911B497E business status Active business type name — case id 2647C0DC-152D-4528-AD6E-F830B9C8DBA9 case number 4331 case status Renewed case status id — case type Professional License case type id — case workclass Professional case workclass id — closed date — company name CORNERSTONE HEALTHCARE INC company type name Corporation complete date — dba PERRY SPINE AND WELLNESS description — expected end date — expire date 2015-12-31T00:00:00 final date — holder company name — holder first name — holder last name — holder middle name — issue date 2015-01-01T00:00:00 last audit date — license year — main parcel — module name 8 opened date 2011-09-23T00:00:00 project name — request date — schedule date — start date — tax id — Source: perry ga business licenses · document dtx-licenses/8906002a42383b236bb4919b
Georgia	4331	Professional License	2014-01-01	Renewed
address CountryTypeId: 0 · CountryTypeName: US · AddressLine1: 1020 · AddressLine2: KEITH DR · AddressTypeName: Location · IsMain: true · FullAddress: 1020 KEITH DR address display 1020 KEITH DR apply date 2011-09-23T00:00:00 business id 07B44C08-29B3-439C-8DA6-70F7911B497E business status Active business type name — case id 8EF8833D-E76D-4D05-ADC1-0A69A52F485E case number 4331 case status Renewed case status id — case type Professional License case type id — case workclass Professional case workclass id — closed date — company name CORNERSTONE HEALTHCARE INC company type name Corporation complete date — dba PERRY SPINE AND WELLNESS description — expected end date — expire date 2014-12-31T00:00:00 final date — holder company name — holder first name — holder last name — holder middle name — issue date 2014-01-01T00:00:00 last audit date — license year — main parcel — module name 8 opened date 2011-09-23T00:00:00 project name — request date — schedule date — start date — tax id — Source: perry ga business licenses · document dtx-licenses/aad067b8c8a89f0ce7057a03
Georgia	4331	Professional License	2013-01-01	Renewed
address CountryTypeId: 0 · CountryTypeName: US · AddressLine1: 1020 · AddressLine2: KEITH DR · AddressTypeName: Location · IsMain: true · FullAddress: 1020 KEITH DR address display 1020 KEITH DR apply date 2011-09-23T00:00:00 business id 07B44C08-29B3-439C-8DA6-70F7911B497E business status Active business type name — case id 4A42AB43-414F-4A77-B3EE-9F4957A7E1B3 case number 4331 case status Renewed case status id — case type Professional License case type id — case workclass Professional case workclass id — closed date — company name CORNERSTONE HEALTHCARE INC company type name Corporation complete date — dba PERRY SPINE AND WELLNESS description — expected end date — expire date 2013-12-31T00:00:00 final date — holder company name — holder first name — holder last name — holder middle name — issue date 2013-01-01T00:00:00 last audit date — license year — main parcel — module name 8 opened date 2011-09-23T00:00:00 project name — request date — schedule date — start date — tax id — Source: perry ga business licenses · document dtx-licenses/0b99ac9ab4486139daa3a5d6
Georgia	4331	Professional License	2012-01-01	Renewed
address CountryTypeId: 0 · CountryTypeName: US · AddressLine1: 1020 · AddressLine2: KEITH DR · AddressTypeName: Location · IsMain: true · FullAddress: 1020 KEITH DR address display 1020 KEITH DR apply date 2011-09-23T00:00:00 business id 07B44C08-29B3-439C-8DA6-70F7911B497E business status Active business type name — case id E0C27059-DEED-4ECB-B301-17AC166381C6 case number 4331 case status Renewed case status id — case type Professional License case type id — case workclass Professional case workclass id — closed date — company name CORNERSTONE HEALTHCARE INC company type name Corporation complete date — dba PERRY SPINE AND WELLNESS description — expected end date — expire date 2012-12-31T00:00:00 final date — holder company name — holder first name — holder last name — holder middle name — issue date 2012-01-01T00:00:00 last audit date — license year — main parcel — module name 8 opened date 2011-09-23T00:00:00 project name — request date — schedule date — start date — tax id — Source: perry ga business licenses · document dtx-licenses/2e73f833820cf4cc14d5f792
Georgia	4331	Professional License	2011-09-23	Renewed
address CountryTypeId: 0 · CountryTypeName: US · AddressLine1: 1020 · AddressLine2: KEITH DR · AddressTypeName: Location · IsMain: true · FullAddress: 1020 KEITH DR address display 1020 KEITH DR apply date 2011-09-23T00:00:00 business id 07B44C08-29B3-439C-8DA6-70F7911B497E business status Active business type name — case id D447E974-3518-4DAF-90B1-465FF4A8FBAC case number 4331 case status Renewed case status id — case type Professional License case type id — case workclass Professional case workclass id — closed date — company name CORNERSTONE HEALTHCARE INC company type name Corporation complete date — dba PERRY SPINE AND WELLNESS description — expected end date — expire date 2011-12-31T00:00:00 final date — holder company name — holder first name — holder last name — holder middle name — issue date 2011-09-23T00:00:00 last audit date — license year — main parcel — module name 8 opened date 2011-09-23T00:00:00 project name — request date — schedule date — start date — tax id — Source: perry ga business licenses · document dtx-licenses/d3a82750cd88227562f8866b
—	1194155010	Medicare / NPI provider	11/13/2013	Unknown
credential — deactivation date — entity type code 2 enumeration date 11/13/2013 first name — last name — last update date 06/16/2015 mailing address 1 5292 S COLLEGE DR mailing address 2 304 mailing city MURRAY mailing country US mailing postal code 841232991 mailing state UT middle name — npi 1194155010 organization name CORNERSTONE HEALTHCARE INC practice address 1 5292 S COLLEGE DR practice city MURRAY practice postal code 841232991 practice state UT reactivation date — taxonomy code 1 251G00000X Source: NPI registry · document npi/
—	1821383373	Medicare / NPI provider	06/13/2011	Unknown
credential — deactivation date — entity type code 2 enumeration date 06/13/2011 first name — last name — last update date 06/13/2011 mailing address 1 1020 KEITH DR mailing address 2 — mailing city PERRY mailing country US mailing postal code 310692947 mailing state GA middle name — npi 1821383373 organization name CORNERSTONE HEALTHCARE INC. practice address 1 1020 KEITH DR practice city PERRY practice postal code 310692947 practice state GA reactivation date — taxonomy code 1 174400000X Source: NPI registry · document npi/

State

License / ID

Type

Issued

Status

Georgia

4331

Professional License

2018-01-01

Renewed

address

CountryTypeId: 0 · CountryTypeName: US · AddressLine1: 1020 · AddressLine2: KEITH DR · AddressTypeName: Location · IsMain: true · FullAddress: 1020 KEITH DR

address display

1020 KEITH DR

apply date

2011-09-23T00:00:00

business id

07B44C08-29B3-439C-8DA6-70F7911B497E

business status

Active

business type name

—

case id

3021BFCD-D441-4538-9AE2-BE0F181D3771

case number

4331

case status

Renewed

case status id

—

case type

Professional License

case type id

—

case workclass

Professional

case workclass id

—

closed date

—

company name

CORNERSTONE HEALTHCARE INC

company type name

Corporation

complete date

—

dba

PERRY SPINE AND WELLNESS

description

—

expected end date

—

expire date

2018-12-31T00:00:00

final date

—

holder company name

—

holder first name

—

holder last name

—

holder middle name

—

issue date

2018-01-01T00:00:00

last audit date

—

license year

—

main parcel

—

module name

opened date

2011-09-23T00:00:00

project name

—

request date

—

schedule date

—

start date

—

tax id

—

Source: perry ga business licenses · document dtx-licenses/e6ac5fcafccb742ec6f451ea

Georgia

4331

Professional License

2017-01-01

Renewed

address

CountryTypeId: 0 · CountryTypeName: US · AddressLine1: 1020 · AddressLine2: KEITH DR · AddressTypeName: Location · IsMain: true · FullAddress: 1020 KEITH DR

address display

1020 KEITH DR

apply date

2011-09-23T00:00:00

business id

07B44C08-29B3-439C-8DA6-70F7911B497E

business status

Active

business type name

—

case id

91D6B708-3834-4701-B574-85F29A2C8A8B

case number

4331

case status

Renewed

case status id

—

case type

Professional License

case type id

—

case workclass

Professional

case workclass id

—

closed date

—

company name

CORNERSTONE HEALTHCARE INC

company type name

Corporation

complete date

—

dba

PERRY SPINE AND WELLNESS

description

—

expected end date

—

expire date

2017-12-31T00:00:00

final date

—

holder company name

—

holder first name

—

holder last name

—

holder middle name

—

issue date

2017-01-01T00:00:00

last audit date

—

license year

—

main parcel

—

module name

opened date

2011-09-23T00:00:00

project name

—

request date

—

schedule date

—

start date

—

tax id

—

Source: perry ga business licenses · document dtx-licenses/afc826260a962ad949e0d58b

Georgia

4331

Professional License

2016-01-01

Renewed

address

CountryTypeId: 0 · CountryTypeName: US · AddressLine1: 1020 · AddressLine2: KEITH DR · AddressTypeName: Location · IsMain: true · FullAddress: 1020 KEITH DR

address display

1020 KEITH DR

apply date

2011-09-23T00:00:00

business id

07B44C08-29B3-439C-8DA6-70F7911B497E

business status

Active

business type name

—

case id

BF194040-3255-40FF-A822-3ABBD5F57D0A

case number

4331

case status

Renewed

case status id

—

case type

Professional License

case type id

—

case workclass

Professional

case workclass id

—

closed date

—

company name

CORNERSTONE HEALTHCARE INC

company type name

Corporation

complete date

—

dba

PERRY SPINE AND WELLNESS

description

—

expected end date

—

expire date

2016-12-31T00:00:00

final date

—

holder company name

—

holder first name

—

holder last name

—

holder middle name

—

issue date

2016-01-01T00:00:00

last audit date

—

license year

—

main parcel

—

module name

opened date

2011-09-23T00:00:00

project name

—

request date

—

schedule date

—

start date

—

tax id

—

Source: perry ga business licenses · document dtx-licenses/26b49208033273179a9baaca

Georgia

4331

Professional License

2015-01-01

Renewed

address

CountryTypeId: 0 · CountryTypeName: US · AddressLine1: 1020 · AddressLine2: KEITH DR · AddressTypeName: Location · IsMain: true · FullAddress: 1020 KEITH DR

address display

1020 KEITH DR

apply date

2011-09-23T00:00:00

business id

07B44C08-29B3-439C-8DA6-70F7911B497E

business status

Active

business type name

—

case id

2647C0DC-152D-4528-AD6E-F830B9C8DBA9

case number

4331

case status

Renewed

case status id

—

case type

Professional License

case type id

—

case workclass

Professional

case workclass id

—

closed date

—

company name

CORNERSTONE HEALTHCARE INC

company type name

Corporation

complete date

—

dba

PERRY SPINE AND WELLNESS

description

—

expected end date

—

expire date

2015-12-31T00:00:00

final date

—

holder company name

—

holder first name

—

holder last name

—

holder middle name

—

issue date

2015-01-01T00:00:00

last audit date

—

license year

—

main parcel

—

module name

opened date

2011-09-23T00:00:00

project name

—

request date

—

schedule date

—

start date

—

tax id

—

Source: perry ga business licenses · document dtx-licenses/8906002a42383b236bb4919b

Georgia

4331

Professional License

2014-01-01

Renewed

address

CountryTypeId: 0 · CountryTypeName: US · AddressLine1: 1020 · AddressLine2: KEITH DR · AddressTypeName: Location · IsMain: true · FullAddress: 1020 KEITH DR

address display

1020 KEITH DR

apply date

2011-09-23T00:00:00

business id

07B44C08-29B3-439C-8DA6-70F7911B497E

business status

Active

business type name

—

case id

8EF8833D-E76D-4D05-ADC1-0A69A52F485E

case number

4331

case status

Renewed

case status id

—

case type

Professional License

case type id

—

case workclass

Professional

case workclass id

—

closed date

—

company name

CORNERSTONE HEALTHCARE INC

company type name

Corporation

complete date

—

dba

PERRY SPINE AND WELLNESS

description

—

expected end date

—

expire date

2014-12-31T00:00:00

final date

—

holder company name

—

holder first name

—

holder last name

—

holder middle name

—

issue date

2014-01-01T00:00:00

last audit date

—

license year

—

main parcel

—

module name

opened date

2011-09-23T00:00:00

project name

—

request date

—

schedule date

—

start date

—

tax id

—

Source: perry ga business licenses · document dtx-licenses/aad067b8c8a89f0ce7057a03

Georgia

4331

Professional License

2013-01-01

Renewed

address

CountryTypeId: 0 · CountryTypeName: US · AddressLine1: 1020 · AddressLine2: KEITH DR · AddressTypeName: Location · IsMain: true · FullAddress: 1020 KEITH DR

address display

1020 KEITH DR

apply date

2011-09-23T00:00:00

business id

07B44C08-29B3-439C-8DA6-70F7911B497E

business status

Active

business type name

—

case id

4A42AB43-414F-4A77-B3EE-9F4957A7E1B3

case number

4331

case status

Renewed

case status id

—

case type

Professional License

case type id

—

case workclass

Professional

case workclass id

—

closed date

—

company name

CORNERSTONE HEALTHCARE INC

company type name

Corporation

complete date

—

dba

PERRY SPINE AND WELLNESS

description

—

expected end date

—

expire date

2013-12-31T00:00:00

final date

—

holder company name

—

holder first name

—

holder last name

—

holder middle name

—

issue date

2013-01-01T00:00:00

last audit date

—

license year

—

main parcel

—

module name

opened date

2011-09-23T00:00:00

project name

—

request date

—

schedule date

—

start date

—

tax id

—

Source: perry ga business licenses · document dtx-licenses/0b99ac9ab4486139daa3a5d6

Georgia

4331

Professional License

2012-01-01

Renewed

address

CountryTypeId: 0 · CountryTypeName: US · AddressLine1: 1020 · AddressLine2: KEITH DR · AddressTypeName: Location · IsMain: true · FullAddress: 1020 KEITH DR

address display

1020 KEITH DR

apply date

2011-09-23T00:00:00

business id

07B44C08-29B3-439C-8DA6-70F7911B497E

business status

Active

business type name

—

case id

E0C27059-DEED-4ECB-B301-17AC166381C6

case number

4331

case status

Renewed

case status id

—

case type

Professional License

case type id

—

case workclass

Professional

case workclass id

—

closed date

—

company name

CORNERSTONE HEALTHCARE INC

company type name

Corporation

complete date

—

dba

PERRY SPINE AND WELLNESS

description

—

expected end date

—

expire date

2012-12-31T00:00:00

final date

—

holder company name

—

holder first name

—

holder last name

—

holder middle name

—

issue date

2012-01-01T00:00:00

last audit date

—

license year

—

main parcel

—

module name

opened date

2011-09-23T00:00:00

project name

—

request date

—

schedule date

—

start date

—

tax id

—

Source: perry ga business licenses · document dtx-licenses/2e73f833820cf4cc14d5f792

Georgia

4331

Professional License

2011-09-23

Renewed

address

CountryTypeId: 0 · CountryTypeName: US · AddressLine1: 1020 · AddressLine2: KEITH DR · AddressTypeName: Location · IsMain: true · FullAddress: 1020 KEITH DR

address display

1020 KEITH DR

apply date

2011-09-23T00:00:00

business id

07B44C08-29B3-439C-8DA6-70F7911B497E

business status

Active

business type name

—

case id

D447E974-3518-4DAF-90B1-465FF4A8FBAC

case number

4331

case status

Renewed

case status id

—

case type

Professional License

case type id

—

case workclass

Professional

case workclass id

—

closed date

—

company name

CORNERSTONE HEALTHCARE INC

company type name

Corporation

complete date

—

dba

PERRY SPINE AND WELLNESS

description

—

expected end date

—

expire date

2011-12-31T00:00:00

final date

—

holder company name

—

holder first name

—

holder last name

—

holder middle name

—

issue date

2011-09-23T00:00:00

last audit date

—

license year

—

main parcel

—

module name

opened date

2011-09-23T00:00:00

project name

—

request date

—

schedule date

—

start date

—

tax id

—

Source: perry ga business licenses · document dtx-licenses/d3a82750cd88227562f8866b

—

1194155010

Medicare / NPI provider

11/13/2013

Unknown

credential

—

deactivation date

—

entity type code

enumeration date

11/13/2013

first name

—

last name

—

last update date

06/16/2015

mailing address 1

5292 S COLLEGE DR

mailing address 2

304

mailing city

MURRAY

mailing country

mailing postal code

841232991

mailing state

middle name

—

npi

1194155010

organization name

CORNERSTONE HEALTHCARE INC

practice address 1

5292 S COLLEGE DR

practice city

MURRAY

practice postal code

841232991

practice state

reactivation date

—

taxonomy code 1

251G00000X

Source: NPI registry · document npi/

—

1821383373

Medicare / NPI provider

06/13/2011

Unknown

credential

—

deactivation date

—

entity type code

enumeration date

06/13/2011

first name

—

last name

—

last update date

06/13/2011

mailing address 1

1020 KEITH DR

mailing address 2

—

mailing city

PERRY

mailing country

mailing postal code

310692947

mailing state

middle name

—

npi

1821383373

organization name

CORNERSTONE HEALTHCARE INC.

practice address 1

1020 KEITH DR

practice city

PERRY

practice postal code

310692947

practice state

reactivation date

—

taxonomy code 1

174400000X

Source: NPI registry · document npi/

Amount	Approved	Lender	Jobs	Status
$75,000	2007-05-23	COFSB, National Association	—	CANCLD
approval date 2007-05-23 approval fiscal year 2007 as of date 2026-06-30 bank city MCLEAN bank fdic number — bank name COFSB, National Association bank ncua number — bank state VA bank street 1680 Capital One Dr bank zip 22102 borrower city WAYZATA borrower name CORNERSTONE HEALTHCARE, INC. borrower state MN borrower street 600 TWELVE OAKS CENTER DR SUITE 640 borrower zip 55391 business age Existing, 5 or more years business type CORPORATION charge off date — collateral ind N congressional district 03 first disbursement date — fixed or variable interest ind — franchise code — franchise name — gross approval 75000.0 gross charge off amount 0.0 initial interest rate — jobs supported 93.0 loan status CANCLD location id 0120895 naics code 621610 naics description Home Health Care Services paid in full date — processing method SBA Express Program program 7A project county HENNEPIN project state MN revolver status N sba district office MINNESOTA DISTRICT OFFICE sba guaranteed approval 37500.0 sold secondary market ind — term in months 84.0 Source: SBA loans 7a 504 · document sba-7a-504/

State	Workforce	Hiring sites	Enrolled	Industry	Status
Utah	20 to 99	1	1/8/2014	HEALTH CARE AND SOCIAL ASSISTANCE (62)	Open

Arizona	10 to 19	1	11/6/2015	HEALTH CARE AND SOCIAL ASSISTANCE (62)	Open

Minnesota	100 to 499	1	12/13/2009	HEALTH CARE AND SOCIAL ASSISTANCE (62)	Terminated

CORNERSTONE HEALTHCARE, INC.

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