Organization Active NPI

Cornerstone Personal Care Services

  • Developmental Disabilities Clinic/Center
  • Greeneville, TN
National Provider Identifier
1114073368
Registry record updated Mar 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
License
64504 Issued in TN
Legal business name
CORNERSTONE PERSONAL CARE SERVICES
Practice address
808 Tusculum Blvd
Greeneville, TN 37745-5123
Phone
(423) 638-9995
Fax
(423) 798-2820
NPI assigned
Jan 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2011

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

Authorized official

Name
Mrs. Vickie Stills, RN
Title
Administrator
Phone
(423) 638-9995

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X 64504 TN Primary

Addresses

Primary practice location

808 Tusculum Blvd
Greeneville, TN 37745-5123

Mailing address

808 Tusculum Blvd
Greeneville, TN 37745-5123
Phone (423) 638-9995

National Provider Directory

National Provider Directory

Locations

808 Tusculum Blvd
Greeneville, TN 37745
Phone (423) 638-9995

NPI Registry JSON

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

{
    "created_epoch": "1169856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299801600000",
    "number": "1114073368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 TUSCULUM BLVD",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377455123",
            "telephone_number": "423-638-9995",
            "fax_number": "423-798-2820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 TUSCULUM BLVD",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377455123",
            "telephone_number": "423-638-9995",
            "fax_number": "423-798-2820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE PERSONAL CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-27",
        "last_updated": "2011-03-11",
        "status": "A",
        "authorized_official_last_name": "STILLS",
        "authorized_official_first_name": "VICKIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "423-638-9995",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "TN",
            "license": "64504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeneville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2011; 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.