Organization Active NPI

Cornerstone Support Services, LLC

  • Early Intervention Provider Agency
  • Columbia, SC
National Provider Identifier
1114489556
Registry record updated Apr 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
CORNERSTONE SUPPORT SERVICES, LLC
Practice address
207 Quinton LN
Columbia, SC 29229-8520
Phone
(843) 619-7036
Fax
(843) 619-7037
NPI assigned
Apr 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2019

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

Authorized official

Name
Casaundra Greene, MED.
Title
Member/Owner
Phone
(864) 884-7211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

207 Quinton LN
Columbia, SC 29229-8520

Mailing address

PO Box 24601
Columbia, SC 29224-4601
Phone (843) 619-7036

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1554336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554336000000",
    "number": "1114489556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24601",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292244601",
            "telephone_number": "843-619-7036",
            "fax_number": "843-619-7037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 QUINTON LN",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292298520",
            "telephone_number": "843-619-7036",
            "fax_number": "843-619-7037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE SUPPORT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-04",
        "last_updated": "2019-04-04",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "CASAUNDRA",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "864-884-7211",
        "authorized_official_credential": "MED."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2019; 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.