Organization Active NPI

Cornerstone Health Services, Inc-

  • Developmental Disabilities Clinic/Center
  • Riverdale, GA
National Provider Identifier
1235420852
Registry record updated Apr 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
License
031011501 Issued in GA
Legal business name
CORNERSTONE HEALTH SERVICES, INC-
Practice address
512 Cottage PL
Riverdale, GA 30274-2408
Phone
(770) 471-7320
Fax
(770) 471-9057
NPI assigned
Apr 30, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2011

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

Authorized official

Name
Ms. Sandra Daniels
Title
Ceo
Phone
(770) 471-7320

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X 031011501 GA Primary

Addresses

Primary practice location

512 Cottage PL
Riverdale, GA 30274-2408

Mailing address

512 Cottage PL
Riverdale, GA 30274-2408
Phone (770) 471-7320

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1304121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304121600000",
    "number": "1235420852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 COTTAGE PL",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302742408",
            "telephone_number": "770-471-7320",
            "fax_number": "770-471-9057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 COTTAGE PL",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302742408",
            "telephone_number": "770-471-7320",
            "fax_number": "770-471-9057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE HEALTH SERVICES, INC-",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-30",
        "last_updated": "2011-04-30",
        "status": "A",
        "authorized_official_last_name": "DANIELS",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-471-7320",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "GA",
            "license": "031011501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverdale, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.