Cornerstone Living Skills in Santa Rosa - Intermediate Care Facility, Intellectual Disabilities
Cornerstone Living Skills - NPI 1790996320
Cornerstone Living Skills is a Intermediate Care Facility, Intellectual Disabilities in Santa Rosa, California. Cornerstone Living Skills practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Cornerstone Living Skills is 1790996320. The last update date is 2020-08-22.
Cornerstone Living Skills's current location address is 4740 Badger Rd, Santa Rosa, California. You can contact this provider via phone number 5594510399. The mailing address for Cornerstone Living Skills is 4740 Badger Rd, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Cornerstone Living Skills |
|---|---|
| Address | 4740 Badger Rd, Santa Rosa, California |
| Phone Number | 5594510399 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VICE PRESI |
|---|---|
| Authorized Official Name | Bargmann Nancy |
| Telephone Number | 9095793151 |
NPI Number Detail
| NPI Number | 1790996320 |
|---|---|
| Provider Enumeration Date | 2007-05-25 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 4740 Badger Rd |
|---|---|
| City | Santa Rosa |
| State | California (CA) |
| Post Code | 954092634 |
| Phone Number | 5594510399 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| LTC80066F | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Cornerstone Living Skills by the Centers for Medicare & Medicaid Services?
The Cornerstone Living Skills has been issued the NPI (National Provider Identifier) 1790996320 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Cornerstone Living Skills's facilities are geographically located?
The facilities of Cornerstone Living Skills are physically situated at the following location: 4740 Badger Rd, Santa Rosa, CA, 954092634.
What is Cornerstone Living Skills's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Cornerstone Living Skills's specialized field of practice is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy code that categorizes this area of specialization is 315P00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1790996320 to Cornerstone Living Skills?
The Centers for Medicare & Medicaid Services assigned the 1790996320 to Cornerstone Living Skills on 2007-05-25.
As of what date were the Cornerstone Living Skills's details last updated?
The information pertaining to the Cornerstone Living Skills, including its address, specialty, and other details, was most recently updated on 2020-08-22.