Cornerstone Community Living LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

CORNERSTONE COMMUNITY LIVING LLC

Practice address

3218 W 11TH St
Davenport, IA 52804-3205

Phone

(309) 429-4261

NPI assigned

Aug 4, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Keena Pullman

Title

Owner

Phone

(309) 429-4261

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1785801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785801600000",
    "number": "1063335131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 LECLAIRE ST APT 401",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528011771",
            "telephone_number": "309-429-4261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3218 W 11TH ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528043205",
            "telephone_number": "309-429-4261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE COMMUNITY LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-04",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A",
        "authorized_official_last_name": "PULLMAN",
        "authorized_official_first_name": "KEENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-429-4261"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas M Cook, RPH
• Lynsey Cooper
• Sara Nicole Copeland
• Chloe Corbin
• Core Health Care
• McKenzie Bette Cornilsen, CLC, SBD
• Maria Judith Correa-Kaiser, PH.D.
• Gregg D Corrigan, DPM
• Raymond Walter Corry, O.D.
• James Andrew Corsiglia, DC

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Davenport, IA
• Providers in Davenport, IA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.