Cornerstone Residential Care

Primary specialty

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

Legal business name

CORNERSTONE RESIDENTIAL CARE

Doing business as

Cornerstone Residential Care

Practice address

860 Duck Pond Rd
Westbrook, ME 04092-2512

Phone

(207) 615-9272

NPI assigned

Jan 26, 2023

Last updated

Jan 26, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Alexandre Bizimana Sr.

Title

Ceo

Phone

(207) 615-9272

Specialties & licenses 1

Addresses

Other names 1

• Cornerstone Residential Care Doing business as

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

{
    "created_epoch": "1674691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674691200000",
    "number": "1235845843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 DUCK POND RD",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040922512",
            "telephone_number": "207-615-9272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 DUCK POND RD",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040922512",
            "telephone_number": "207-615-9272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE RESIDENTIAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-26",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A",
        "authorized_official_last_name": "BIZIMANA",
        "authorized_official_first_name": "ALEXANDRE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "207-615-9272",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "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": [
        {
            "organization_name": "Cornerstone Residential Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Caitlin Costigan, FNP-C
• Karen Coston, BCBA
• Julie Anne Cotton, LSW-C
• Sandra Emily Couch Kelly, LCSW

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Westbrook, ME
• Providers in Westbrook, ME by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; 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.