Cornerstone Services Inc in Channahon - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities

Cornerstone Services Inc - NPI 1811175151

Cornerstone Services Inc is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Channahon, Illinois. Cornerstone Services Inc practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Cornerstone Services Inc is 1811175151. The last update date is 2008-06-12.

Cornerstone Services Inc's current location address is 22744 S Park Place Dr, Channahon, Illinois. You can contact this provider via phone number 8157417045. The mailing address for Cornerstone Services Inc is 22744 S Park Place Dr, Channahon, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Cornerstone Services Inc
Address 22744 S Park Place Dr, Channahon, Illinois
Phone Number 8157417045
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CHIEF ADMI
Authorized Official Name Stortz T Benjamin
Credentials CPA
Telephone Number 8157417042

NPI Number Detail

NPI Number 1811175151
Provider Enumeration Date 2008-02-08
Last Updated Date 2008-06-12

Provider Mailing Address Detail

Address 22744 S Park Place Dr
City Channahon
State Illinois (IL)
Post Code 604103154
Phone Number 8157417045
Fax Number

Provider's Primary Taxonomy Detail

Speciality Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Taxonomy 320900000X
Definition:
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
40469 IL IDPH LICENCE NUMBER

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FAQs about Cornerstone Services Inc

What is the unique provider identifier assigned to Cornerstone Services Inc?

The Cornerstone Services Inc has been issued the NPI (National Provider Identifier) 1811175151 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Where is the Cornerstone Services Inc located?

The Cornerstone Services Inc is located at 22744 S Park Place Dr, Channahon, IL 604103154.

What is Cornerstone Services Inc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Cornerstone Services Inc is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the taxonomy classification code that categorizes this area of expertise is 320900000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1811175151 to Cornerstone Services Inc?

The Cornerstone Services Inc received its 1811175151 assignment from the Centers for Medicare & Medicaid Services on 2008-02-08.

As of what date were the details pertaining to Cornerstone Services Inc last refreshed?

The information related to the Cornerstone Services Inc, including its address, specialty, and other relevant details, was last updated on 2008-06-12.

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